Certificate for COVID-19 Vaccination
Issued in India by Ministry of Health & Family Welfare, Govt. of India
Certificate ID 84888307055
Beneficiary Details
Beneficiary Name / लाभाथ का नाम Pallavi Shukla
Age / उ 30
Gender / लग Female
ID Verified / पहचान प स ा पत Aadhaar # XXXXXXXX3610
Unique Health ID (UHID)
Beneficiary Reference ID 61448041293500
Vaccination Status / टीकाकरण क त Fully Vaccinated (2 Doses) and a Precaution Dose
Vaccination Details
Vaccinated By / टीका लगाने वाले का नाम Shanta nayar
Vaccination At / टीकाकरण का ान V OLD DH City Hospital, Vidisha, Madhya Pradesh
Dose Number Date of Dose Vaccine Name Batch Number Vaccine Type Manufacturer
खुराक क सं या खुराक क तारीख वै ीन का नाम बैच सं या टीका का कार उ पादक
COVID-19 vaccine, Serum Institute of India Pvt.
1/2 29 May 2021 COVISHIELD 4121z080 non-replicating viral vector Ltd.
COVID-19 vaccine, Serum Institute of India Pvt.
2/2 08 Sep 2021 COVISHIELD 4121AA008M non-replicating viral vector Ltd.
COVID-19 vaccine, Serum Institute of India Pvt.
Precaution dose 18 Jul 2022 COVISHIELD 4221P262 non-replicating viral vector Ltd.
“दवाई भी और कड़ाई भी।
Together, India will defeat
COVID-19”
- धानमं ी नर मोदी
In case of any adverse events, kindly contact the nearest Public Health Center/
Healthcare Worker/District Immunization Officer/State Helpline No. 1075
टीकाकरण प ात कसी तकूल घटना के होने पर नज़दीक ा क / ा कम / जला टीकाकरण
अ धकारी/रा ह लाइन 1075 पर स क कर
This certificate can be verified by scanning the QR code at
[Link]