Provisional Certificate for COVID-19 Vaccination - 1st Dose

Beneficiary Details

Beneficiary Name / பலனா ெபய Ramesh

Age / வய 32

Gender / பா ன Male

ID Verified / அைடயாள சா NPR Smart Card # 47862173

Unique Health ID (UHID)

Beneficiary Reference ID 31561522025313

Vaccination Details

Vaccine Name / த ெபய COVISHIELD

Date of Dose / ேடா வழ க ப ட ேத 26 Jun 2021 (Batch no. 4121Z066)

Next due date / அ த ைவ ேத Between 18 Sep 2021 and 16 Oct 2021

Vaccinated by / த ைய வழ யவ Shiyamala

Vaccination at / த வழ க ப ட இட Poovanthi BPHC, Sivaganga, Tamil Nadu

“ம ம
மன ட
Together, India will defeat
COVID-19”
- ரதம ம நேர ர ேமா

In case of any adverse events, kindly contact the nearest Public Health Center/
Healthcare Worker/District Immunization Officer/State Helpline No. 1075
ஏேத எ மைற ைள க ஏ ப டா , தய ெச அ காைம ள ெபா
காதார ைமய / ஆேரா ய பராம ப யாள / மாவ ட த அ வல /
மா ல உத எ . 1075ஐ ெதாட ெகா ள .

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