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Certificate for COVID-19 Vaccination

Issued in India by Ministry of Health & Family Welfare, Govt. of India


Certificate ID 30444298389

Beneficiary Details
Beneficiary Name / িহতািধকাৰীৰ নাম Ratul Bhuyan

Age / বয়স 56

Gender / িলংগ Male

ID Verified / পিৰচয় প সত ািপত Aadhaar # XXXXXXXX0564

Unique Health ID (UHID)


Beneficiary Reference ID 4435321150290

Vaccination Status / কাকৰণৰ ি িত Fully Vaccinated (2 Doses) and a Precaution Dose

Vaccination Details
Vaccinated By / কাকৰণ কিৰেছ Anjumani Das

Vaccination At / কাকৰণৰ ান Dhirenpara FRU, Kamrup Metropolitan, Assam

Dose Number Date of Dose Vaccine Name Batch Number Vaccine Type Manufacturer
পািল সংখ া পািলৰ তািৰখ ভি নৰ নাম ব সংখ া ভকিচনৰ কাৰ িনমাতা

COVID-19 vaccine, Serum Institute of India Pvt.


1/2 20 Apr 2021 COVISHIELD 4121Z044 non-replicating viral vector Ltd.

COVID-19 vaccine, Serum Institute of India Pvt.


2/2 08 Jan 2022 COVISHIELD 4121Z254 non-replicating viral vector Ltd.

COVID-19 vaccine, Serum Institute of India Pvt.


Precaution dose 09 Sep 2022 COVISHIELD 4122Z015 non-replicating viral vector Ltd.

“ঔষধৰ লগেত কেঠাৰতাও


Together, India will defeat
COVID-19”
- ধান ম ী নেৰ মাডী

In case of any adverse events, kindly contact the nearest Public Health Center/
Healthcare Worker/District Immunization Officer/State Helpline No. 1075
িযেকােনা িতকল ঘটনাৰ ত, অনু হ কিৰ িনকটৱতী ৰাজ ৱা া ক / া কমী/িজলা
কাকৰণ িবষয়া/ ৰািজ ক হ লাই ন ৰ 1075 ত যাগােযাগ কৰক।

This certificate can be verified by scanning the QR code at


http://verify.cowin.gov.in

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