Certificate for COVID-19 Vaccination

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

Certificate ID 67155979109

Beneficiary Details
Beneficiary Name / लाभाथ चे नाव bhalchandra shriram bidada

Age / वय 78

Gender / लग Male

ID Verified / ओळखप Aadhaar # XXXXXXXX5633

Unique Health ID (UHID) 52-7318-1072-3509

Beneficiary Reference ID 21381385759433

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

Vaccination Details
Vaccine Name / लसीचे नाव COVAXIN

Vaccine Type / लस कार COVID-19 vaccine, inactivated virus

Manufacturer / उ पादक Bharat Biotech, India

Dose Number / डोस मांक 1/2 2/2 Precaution dose

Date of Dose / डोसची तारीख 19 Mar 2021 19 Apr 2021 18 Jan 2022

Batch Number / बॅच मांक 37G20009A 37F21028A 37M21055A

Vaccinated By / यां ा ार लसीकरण A M Salgare

Vaccination At / लसीकरणाचे ळ Kallamb SDH Covaxine, Osmanabad,

Maharashtra

औषध सु ा आ ण श सु ा
Together, India will defeat
COVID-19”
- पंत धान ी. नर मोदी

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

कोणतेही तकूल प रणाम आढळू न आ यास कृपया जवळचे सावज नक आरो य क / आरो यसेवा
कमचारी/ ज हा लसीकरण अ धकारी/ रा य ह पलाइन मांक १०७५ वर संपक साधा.

This certificate can be verified by scanning the QR code at

http://verify.cowin.gov.in