Certificate for COVID-19 Vaccination

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

Certificate ID 94708124716

Beneficiary Details
Beneficiary Name / িহতািধকাৰীৰ নাম Shalu Bala

Age / বয়স 27

Gender / িলংগ Female

ID Verified / পিৰচয় প সত ািপত Aadhaar # XXXXXXXX3058

Unique Health ID (UHID)

Beneficiary Reference ID 4665825190560
Vaccination Status / কাকৰণৰ ি িত Fully Vaccinated (2 Doses)

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 Pvt. Ltd.

Dose Number / পািল সংখ া 1/2 2/2

Date of Dose / পািলৰ তািৰখ 2021-07-30 2021-12-02

Batch Number / ব সংখ া 4121MC039 4121Mc111

Vaccinated By / কাকৰণ কিৰেছ Pradyut Pal

Vaccination At / কাকৰণৰ ান Ftr BSF Hospital M And C, Cachar, 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