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    Rajesh Gaonkar
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    This document is a provisional certificate for the first dose of the COVID-19 vaccine. It provides details of the beneficiary such as name, age, gender and ID numbers. It also includes vaccination details like the vaccine name (Covishield), date of vaccination, batch number, and the person who administered the vaccine. The certificate states that the next due date for the second dose is between October 9th and November 6th, 2021.

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    This document is a provisional certificate for the first dose of the COVID-19 vaccine. It provides details of the beneficiary such as name, age, gender and ID numbers. It also includes vaccination details like the vaccine name (Covishield), date of vaccination, batch number, and the person who administered the vaccine. The certificate states that the next due date for the second dose is between October 9th and November 6th, 2021.

    Copyright:

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

    Certificate

    Uploaded by

    Rajesh Gaonkar
    This document is a provisional certificate for the first dose of the COVID-19 vaccine. It provides details of the beneficiary such as name, age, gender and ID numbers. It also includes vaccination details like the vaccine name (Covishield), date of vaccination, batch number, and the person who administered the vaccine. The certificate states that the next due date for the second dose is between October 9th and November 6th, 2021.

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    © All Rights Reserved
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    Provisional Certificate for COVID-19 Vaccination - 1st Dose

    Beneficiary Details

    Beneficiary Name / ಫ ಾನುಭ ಯ ಸರು Vidya R

    Age / ವಯಸು 39

    Gender / ಂಗ Female

    ID Verified / ಐ. . ಗುರುತು Aadhaar # XXXXXXXX6302

    Unique Health ID (UHID) 57-6878-6420-7374

    Beneficiary Reference ID 75842354272330

    Vaccination Details

    Vaccine Name / ಲ ಸರು COVISHIELD

    Date of Dose / ೂೕ ಾಂಕ 17 Jul 2021 (Batch no. 4121MC021)

    Next due date / ಮುಂ ನ ಲ ೕಡುವ ಾಂಕ Between 09 Oct 2021 and 06 Nov 2021

    Vaccinated by / ಲ ೕ ದವರು Rose Merry

    Vaccination at / ಲ ಾ ದ ಸಳ Mandya 18 To 44 FLWs, Mandya, Karnataka

    “ಔಷ /ಲ ೕಕು,
    ೂ ದೃಢ ೕಕು
    Together, India will defeat
    COVID-19”
    - ಪ ಾನಮಂ ನ ೕಂದ ೕ

    In case of any adverse events, kindly contact the nearest Public Health Center/
    Healthcare Worker/District Immunization Officer/State Helpline No. 1075
    ಾವ ೕ ಅಡಪ ಾಮ ಉಂ ಾದ ಸಂದಭ ದ , ದಯ ಟು ಸ ೕಪದ ಾವ ಜ ಕ ಆ ೂೕಗ
    ೕಂದ /ಆ ೂೕಗ ಶುಷೂ ಾಯ ಕ / ಾ ಲ ಅ ಾ / ಾಜ ಸ ಾಯ ಾ ಸಂ. 1075
    ಸಂಪ

    This certificate can be verified by scanning the QR code at


    http://verify.cowin.gov.in

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