E - VACCINATION CERTIFICATE

Ref ID: 19355161903694

Date of Birth: 20-JUN-2023
Name: Kanak
Gender: F emale
ABHA ID: N/ A
ABHA Address: N/ A
Guardian Name: R ranu
Guardian ref ID: 20344262025774
Vaccination Date: 11-Aug-2023
Vaccinated At: N/ A
Vaccinated By: Usha C houhan Anm

BIRTH 1 ½ MONTHS 2 ½ MONTHS 3 ½ MONTHS 9 MONTHS

Date of Birth Next Vaccination Date Next Vaccination Date Next Vaccination Date Next Vaccination Date
20/06/2023 / / 08/09/2023 / / / /

DATE OF VACCINATION DATE OF VACCINATION DATE OF VACCINATION DATE OF VACCINATION DATE OF VACCINATION
(dd/mm/yyyy): (dd/mm/yyyy): (dd/mm/yyyy): (dd/mm/yyyy): (dd/mm/yyyy):

OPV-0 20/06/2023 OPV-1 11/08/2023 OPV-2 / / OPV-3 / / MR-1 / /

Hep B -
Birth 20/06/2023 Penta -1 11/08/2023 Penta-2 / / Penta-3 / / Vit A-1 / /
Dose

PCV-
BCG 20/06/2023 RVV-1 11/08/2023 RVV-2 / / RVV-3 / / Booster / /

PCV-1 11/08/2023 PCV-2 / / fIPV-3 / /

fIPV-1 11/08/2023 fIPV-2 / /

16-24 MONTHS 5-6 YEARS VITAMIN A

Next Vaccination Date Next Vaccination Date
/ / / / CHILD AGE DATE GIVEN (dd/mm/yyyy) CHILD AGE DATE GIVEN (dd/mm/yyyy)

DATE OF VACCINATION
(dd/mm/yyyy):
DATE OF VACCINATION
(dd/mm/yyyy): Vit A-3 2.0 Years / / Vit A-7 4.0 Years / /
DPT DPT
Booster-
1
/ / Booster-
2
/ / Vit A-4 2.5 Years / / Vit A-8 4.5 Years / /
SIA / OTHERS
Vit A-5 3.0 Years / / Vit A-9 5.0 Years / /
MR-2 / / VACCINE DATE GIVEN
NAME (dd/mm/yyyy)
Vit A-6 3.5 Years / /
OPV -
Booster / /

"Let no child suffer from any vaccine

Vit A-2 / / preventable diseases"
- Shri Narendra Modi,
In case of any adverse events, kindly contact the nearest Health Prime Minister
Center/ Healthcare Worker/ District immunization Officer