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    This certificate documents that Rabiya Khatun, a 30-year-old female, received the first dose of the COVISHIELD COVID-19 vaccine on September 21, 2021 at the BASUGAON TOWN JB SCHOOL vaccination center in Chirang, Assam. The vaccine was manufactured by Serum Institute of India. She is due for her second dose between December 14, 2021 and January 11, 2022. In case of any adverse effects, she should contact local public health authorities.

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    This certificate documents that Rabiya Khatun, a 30-year-old female, received the first dose of the COVISHIELD COVID-19 vaccine on September 21, 2021 at the BASUGAON TOWN JB SCHOOL vaccination center in Chirang, Assam. The vaccine was manufactured by Serum Institute of India. She is due for her second dose between December 14, 2021 and January 11, 2022. In case of any adverse effects, she should contact local public health authorities.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    11 views1 page

    Certificate

    Uploaded by

    rejauli740
    This certificate documents that Rabiya Khatun, a 30-year-old female, received the first dose of the COVISHIELD COVID-19 vaccine on September 21, 2021 at the BASUGAON TOWN JB SCHOOL vaccination center in Chirang, Assam. The vaccine was manufactured by Serum Institute of India. She is due for her second dose between December 14, 2021 and January 11, 2022. In case of any adverse effects, she should contact local public health authorities.

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    © All Rights Reserved
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    Certificate for COVID-19 Vaccination

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


    Certificate ID 48257131890

    Beneficiary Details
    Beneficiary Name / িহতািধকাৰীৰ নাম Rabiya Khatun

    Age / বয়স 30

    Gender / িলংগ Female

    ID Verified / পিৰচয় প সত ািপত Voter ID # KLM1977453

    Unique Health ID (UHID)


    Beneficiary Reference ID 4589566980240
    Vaccination Status / কাকৰণৰ ি িত Partially Vaccinated (1 Dose)

    Vaccination Details
    Vaccine Name / ভি নৰ নাম COVISHIELD

    Vaccine Type / ভকিচনৰ কাৰ COVID-19 vaccine, non-replicating viral vector

    Manufacturer / িনমাতা Serum Institute of India

    Dose Number / পািল সংখ া 1/2

    Date of Dose / পািলৰ তািৰখ 2021-09-21

    Batch Number / ব সংখ া 4121AA015M

    Next Due Date / পৰৱতী িনয়ত তািৰখ Between 14 Dec 2021 and 11 Jan 2022

    Vaccinated By / কাকৰণ কিৰেছ Mallabika Bhowmik

    Vaccination At / কাকৰণৰ ান BASUGAON TOWN JB SCHOOL, Chirang, Assam

    “ঔষধৰ লগেত কেঠাৰতাও


    Together, India will defeat
    COVID-19”
    - ধান ম ী নেৰ মাডী

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

    িযেকােনা িতকল ঘটনাৰ ত, অনু হ কিৰ িনকটৱতী ৰাজ ৱা া ক / া কমী/িজলা


    কাকৰণ িবষয়া/ ৰািজ ক হ লাই ন ৰ 1075 ত যাগােযাগ কৰক।

    This certificate can be verified by scanning the QR code at


    http://verify.cowin.gov.in

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