E - VACCINATION CERTIFICATE

Ref ID: 11208945213268

Date of Birth: 05-AUG-2022
Name: Vidhi
Gender: F emale
ABHA ID: N/ A ABHA Address: N/ A
Guardian name: Nik hil Guardian ref ID: 11208838672117
Vaccination Date: 08-Aug-2023 Vaccinated At: Bijendari Anganw adi Abhey pur,
GUR UGR AM, HAR YANA
Vaccinated By: Poonam

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
05/08/2022 16/09/2022 14/10/2022 11/11/2022 02/05/2023

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

OPV-0 / / OPV-1 / / OPV-2 / / OPV-3 / / MR-1 08/08/2023

Hep B -
Birth / / Penta -1 / / Penta-2 / / Penta-3 / / Vit A-1 / /
Dose

PCV-
BCG / / RVV-1 / / RVV-2 / / RVV-3 / / Booster / /

PCV-1 / / PCV-2 / / fIPV-3 / /

fIPV-1 / / fIPV-2 / /

16-24 MONTHS 5-6 YEARS VITAMIN A

Next Vaccination Date Next Vaccination Date
04/02/2024 / / CHILD AGE DATE GIVEN (dd/mm/yyyy) CHILD AGE DATE GIVEN (dd/mm/yyyy)

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