Certificate for COVID-19 Vaccination

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

Certificate ID 80743720919

Beneficiary Details
Beneficiary Name / लाभाथ का नाम Ram Singh Maurya

Age / उ 35

Gender / लग Male

ID Verified / पहचान प स ा पत Aadhaar # XXXXXXXX0862

Unique Health ID (UHID)

Beneficiary Reference ID 96441395425860

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

Vaccination Details
Vaccinated By / टीका लगाने वाले का नाम SHAKUNTALA DEVI

Vaccination At / टीकाकरण का ान PHC8 PHC SEWAPURI, Varanasi, Uttar 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 15 Jun 2021 COVISHIELD 4121MC001 non-replicating viral Serum Institute of India
vector
COVID-19 vaccine,
2/2 08 Sep 2021 COVISHIELD 4121MC073 non-replicating viral Serum Institute of India
vector
COVID-19 vaccine, Serum Institute of India
Precaution dose 14 Aug 2022 COVISHIELD 4121Z024M non-replicating viral Pvt. Ltd.
vector

“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