Provisional Certificate for COVID-19 Vaccination - 1st Dose

Beneficiary Details

Beneficiary Name / ‫م‬ ‫د‬ Chetan Singh Choudhary

Age / 27

Gender / Male

ID Verified / ‫ڈی‬ ‫ہآ‬ Aadhaar # XXXXXXXX2012

Unique Health ID (UHID)

Beneficiary Reference ID 59491465644310

Vaccination Details

Vaccine Name / ‫م‬ ‫و‬ COVISHIELD

Date of Dose / ‫ر‬ ‫راک‬ 23 Jun 2021 (Batch no. 4121Z081)

Next due date / ‫رہ ر‬ ‫ا‬ Between 15 Sep 2021 and 13 Oct 2021

Vaccinated by / ‫م‬ ‫وا‬ Sonali

Vaccination at / ‫م‬ ‫ری‬ UPHC Krishna Colony, Kathua, Jammu and

Kashmir

‫اور‬ ‫دوا‬
Together, India will defeat
COVID-19”
‫دی‬ ‫ر‬ ‫ا‬ ‫ وز‬-

In case of any adverse events, kindly contact the nearest Public Health Center/
Healthcare Worker/District Immunization Officer/State Helpline No. 1075
1075 ‫ا‬ / ‫ور‬ / ‫اہ م د‬ ‫رت‬ ‫ف وا‬
‫ر‬/ ‫آ‬ ‫۔‬ ‫را‬

This is a secure QR code. For further details, please visit

https://verify.cowin.gov.in