Certificate for COVID-19 Vaccination

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

Certificate ID 34108343752

Beneficiary Details
Beneficiary Name / িহতািধকাৰীৰ নাম Nibhach Medhi

Age / বয়স 49

Gender / িলংগ Male

ID Verified / পিৰচয় প সত ািপত Aadhaar # XXXXXXXX6408

Unique Health ID (UHID)

Beneficiary Reference ID 4498282569670

Vaccination Status / কাকৰণৰ ি িত Fully Vaccinated (2 Doses) and a Precaution Dose

Vaccination Details
Vaccinated By / কাকৰণ কিৰেছ Jonaki Doimary

Vaccination At / কাকৰণৰ ান GMCH Guwahati, Kamrup Metropolitan, Assam

Dose Number Date of Dose Vaccine Name Batch Number Vaccine Type Manufacturer
পািল সংখ া পািলৰ তািৰখ ভি নৰ নাম ব সংখ া ভকিচনৰ কাৰ িনমাতা

COVID-19 vaccine, Serum Institute of India Pvt.

1/2 15 May 2021 COVISHIELD 4121Z068 non-replicating viral vector Ltd.

COVID-19 vaccine, Serum Institute of India Pvt.

2/2 16 Sep 2021 COVISHIELD 4121MC069 non-replicating viral vector Ltd.

COVID-19 vaccine, Serum Institute of India Pvt.

Precaution dose 25 Jun 2022 COVISHIELD 4121AA070M non-replicating viral vector Ltd.

“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