Provisional Certificate for COVID-19 Vaccination - 1st Dose

Beneficiary Details

Beneficiary Name / பலனா ெபய Vengatesh Prabhu Ganeshprabhu

Age / வய 39

Gender / பா ன Male

ID Verified / அைடயாள சா Passport # Z2362454

Unique Health ID (UHID)

Beneficiary Reference ID 31554248630616

Vaccination Details

Vaccine Name / த ெபய COVISHIELD

Date of Dose / ேடா வழ க ப ட ேத 01 Jun 2021 (Batch no. 4121Z073)

Next due date / அ த ைவ ேத Between 24 Aug 2021 and 21 Sep 2021

Vaccinated by / த ைய வழ யவ Victoria

Vaccination at / த வழ க ப ட இட MCH WPCVC, Thoothukudi (Tuticorin),

Tamil Nadu

“ம ம
மன ட
Together, India will defeat
COVID-19”
- ரதம ம நேர ர ேமா

In case of any adverse events, kindly contact the nearest Public Health Center/
Healthcare Worker/District Immunization Officer/State Helpline No. 1075
ஏேத எ மைற ைள க ஏ ப டா , தய ெச அ காைம ள ெபா
காதார ைமய / ஆேரா ய பராம ப யாள / மாவ ட த அ வல /
மா ல உத எ . 1075ஐ ெதாட ெகா ள .

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

https://verify.cowin.gov.in