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Certificate for COVID-19 Vaccination

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


Certificate ID 15941283375

Beneficiary Details
Beneficiary Name Nupur Dolui

Age 45

Gender Female

ID Verified Aadhaar # XXXXXXXX7394

Unique Health ID (UHID) 33-3716-3565-8210

Beneficiary Reference ID 38971617316540


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

Vaccination Details
Vaccine Name COVISHIELD

Vaccine Type COVID-19 vaccine, non-replicating viral vector

Manufacturer Serum Institute of India Pvt. Ltd.

Dose Number 1/2 2/2 Precaution dose

Date of Dose 05 Jun 2021 31 Aug 2021 06 Jul 2022

Batch Number 4121Z085 4121Z171 4121MC169

Vaccinated By Rupali Banerjee

Vaccination At Apollo Clinic Ramrajatla

Together, India will defeat


COVID-19”
- Prime Minister Narendra Modi

In case of any adverse events, kindly contact the nearest Public Health Center/
Healthcare Worker/District Immunization Officer/State Helpline No. 1075

This certificate can be verified by scanning the QR code at


http://verify.cowin.gov.in

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