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  • Certificate 942211325v

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    Sam Arachchige
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    This document is a Certificate of COVID-19 Vaccination for an individual named Patikiri Arachchige Sasid Mushmika from Sri Lanka. It provides details of the individual's name, address, date of birth, identity number, and vaccination details including the dates and vaccine products for three doses of the AstraZeneca and Pfizer COVID-19 vaccines received. The certificate was issued on April 25, 2023.

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    Sample e vaccination certificate Sri Lanka

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    certificate-942211325v

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    This document is a Certificate of COVID-19 Vaccination for an individual named Patikiri Arachchige Sasid Mushmika from Sri Lanka. It provides details of the individual's name, address, date of birth, identity number, and vaccination details including the dates and vaccine products for three doses of the AstraZeneca and Pfizer COVID-19 vaccines received. The certificate was issued on April 25, 2023.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    31 views1 page

    Certificate 942211325v

    Uploaded by

    Sam Arachchige
    This document is a Certificate of COVID-19 Vaccination for an individual named Patikiri Arachchige Sasid Mushmika from Sri Lanka. It provides details of the individual's name, address, date of birth, identity number, and vaccination details including the dates and vaccine products for three doses of the AstraZeneca and Pfizer COVID-19 vaccines received. The certificate was issued on April 25, 2023.

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    of 1

    Confidential No.

    CIT316268746867

    Ministry of Health - Sri Lanka


    Certificate of COVID-19 Vaccination

    1. Beneficiary Name / ප ලා යාෙ නම / நலன் ெப நர் ெபயர்


    PATIKIRI ARACHCHIGE SASID MUSHMIKA

    2. Residential Address / ප ං නය / வதிவிட கவரி


    39, BOGAHALANDA MAWATHA, PAHALA YAGODA, GANEMULLA

    3. Gender / ෂ භාවය / பாலினம்


    Male

    4. Date of Birth / උප නය / பிறந்த ேததி


    08-Aug-1994

    5. Verified Identity Number / අනන තාවය / அைடயாள எண்


    NIC: 942211325v / PASSPORT: N8262892

    6. Vaccination Details / එ න ෙ තර / த ப் சி விபரங்கள்


    Vaccine Doses

    1. Date 20-Aug-2021 27-Sep-2021 14-Feb-2022

    ASTRAZENECA / ASTRAZENECA /
    2. Vaccine Product PFIZER
    COVISHIELD COVISHIELD

    ASTRAZENECA - ASTRAZENECA - PFIZER


    3. Batch Number
    K010B K010B PAA174601

    7. Vaccination Status / එ න ෙ ත වය / த ப் சி நிைல


    3 doses given

    8. Date of Issue / කරන නය / வழங்கப்பட்ட திகதி


    25-Apr-2023

    Verification Portal
    https://cert.covid19.gov.lk

    Secretary of Health

    Ministry of Health, Suwasiripaya, No.385, Rev. Baddegama Wimalawansa Thero Mawatha, Colombo 10, Sri Lanka.
    Tel: +94701731259 / +94701731260 | Email: covid19-svc@health.gov.lk

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