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Provisional Certificate for COVID-19 Vaccination - 1st Dose

Beneficiary Details

Beneficiary Name / ଲାଭାଥୀ ର ନାମ Abhisek Rana

Age / ବୟସ 23

Gender / ଲ Male

ID Verified / ଆଇଡି ସତ ାପିତ େହାଇଛି Aadhaar # XXXXXXXX2623

Unique Health ID (UHID) 60-4721-3861-2088

Beneficiary Reference ID 71141459815040

Vaccination Details

Vaccine Name / ଟିକା ନାମ COVISHIELD

Date of Dose / ଟୀକାକରଣ ତାରୀଖ 20 Jul 2021 (Batch no. 4121MC021)

Next due date / ପରବ ୀ ଟୀକାକରଣ ତାରିଖ Between 12 Oct 2021 and 09 Nov 2021

Vaccinated by / ଟିକା େଦଉଥବା ବ କି ନାମ Purnima Bhue

Vaccination at / ଟୀକାକରଣ ସାନ ME SCHOOL DUNGURIPALI, Subarnapur,

Odisha

“ଔଷଧ ମ ଏବଂ କେଠାରତା ମ


Together, India will defeat
COVID-19”
- ପଧାନମନୀ ନେର େମାଦି

In case of any adverse events, kindly contact the nearest Public Health Center/
Healthcare Worker/District Immunization Officer/State Helpline No. 1075
େକୗଣସି ପକାର ପତିକୂଳ ଘଟଣା ଘଟିେଲ ଦୟାକରି ନିକଟସ ଜନସାସ େକ / ସାସ େସବା କମୀ / ଜିଲା
ଟୀକାକରଣ ଅଫସର / ରାଜ େହଲଲାଇନ ନମର 1075 ସହିତ େଯାଗାେଯାଗ କର

This certificate can be verified by scanning the QR code at


http://verify.cowin.gov.in

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