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Certificate for COVID-19 Vaccination

Fully Vaccinated : 2nd Dose

Beneficiary Details

Beneficiary Name Prasad Pramod Phaltane

Age 26

Gender Male

ID Verified Aadhaar # XXXXXXXX5628

Unique Health ID (UHID)


Beneficiary Reference ID 22782404546020

Vaccination Details

Vaccine Name COVISHIELD

Date of 1st Dose 17 Jul 2021 (Batch no. 4121Z077)

Date of 2nd Dose 13 Oct 2021 (Batch no. 4121AA014M)

Vaccinated by Anusaya Somaji Korake

Vaccination at RurG/AMB/PHC Nirgudsar

Together, India will defeat


COVID-19”
- Prime Minister Narendra Modi

In case of any adverse events, kindly contact the nearest Public Health Center/
Healthcare Worker/District Immunization Officer/State Helpline No. 1075

This certificate can be verified by scanning the QR code at


http://verify.cowin.gov.in

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