Certificate for COVID-19 Vaccination

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

Certificate ID 41918802746

Beneficiary Details
Beneficiary Name Ashutosh Sahu

Age 42

Gender Male

ID Verified Aadhaar # XXXXXXXX4260

Unique Health ID (UHID)

Beneficiary Reference ID 39617445085880
Vaccination Status Fully Vaccinated (2 Doses)

Vaccination Details
Vaccinated By Manisha

Vaccination At Nathupur UPHC 2

Dose Number Date of Dose Vaccine Name Batch Number Vaccine Type Manufacturer

COVID-19 vaccine,
1/2 23 May 2021 COVISHIELD 4121Z062 non-replicating viral vector Serum Institute of India

COVID-19 vaccine,
2/2 25 Aug 2021 COVISHIELD 4121P173 non-replicating viral vector Serum Institute of India

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