Certificate for COVID-19 Vaccination

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

Certificate ID 21755915796

Beneficiary Details
Beneficiary Name / लाभाथ का नाम Shivam VermA

Age / उ 19

Gender / लग Male

ID Verified / पहचान प स ा पत Aadhaar # XXXXXXXX2171

Unique Health ID (UHID) 67-8805-2564-0756

Beneficiary Reference ID 25199061317840

Vaccination Status / टीकाकरण क त Fully Vaccinated (2 Doses) and a Precaution Dose

Vaccination Details
Vaccinated By / टीका लगाने वाले का नाम MEENA SN
CHC Khandasa Covaxin 18 Sbove, Ayodhya, Uttar
Vaccination At / टीकाकरण का ान Pradesh

Dose Number Date of Dose Vaccine Name Batch Number Vaccine Type Manufacturer
खुराक क सं या खुराक क तारीख वै ीन का नाम बैच सं या टीका का कार उ पादक

COVID-19 vaccine,
1/2 28 Jun 2021 COVAXIN 37I2I003A inactivated virus Bharat Biotech

COVID-19 vaccine,
2/2 30 Jul 2021 COVAXIN 37H21031A inactivated virus Bharat Biotech

COVID-19 vaccine,
Precaution dose 04 Sep 2022 COVAXIN 37M22057A inactivated virus Bharat Biotech, India

“दवाई भी और कड़ाई भी।

Together, India will defeat
COVID-19”
- धानमं ी नर मोदी

In case of any adverse events, kindly contact the nearest Public Health Center/
Healthcare Worker/District Immunization Officer/State Helpline No. 1075
टीकाकरण प ात कसी तकूल घटना के होने पर नज़दीक ा क / ा कम / जला टीकाकरण
अ धकारी/रा ह लाइन 1075 पर स क कर

This certificate can be verified by scanning the QR code at

http://verify.cowin.gov.in