Certificate for COVID-19 Vaccination
Issued in India by Ministry of Health & Family Welfare, Govt. of India
Certificate ID 10987448472
Beneficiary Details
Beneficiary Name / लाभाथ का नाम Prem Narain
Age / उ 43
Gender / लग Male
ID Verified / पहचान प स ा पत Aadhaar # XXXXXXXX1077
Unique Health ID (UHID)
Beneficiary Reference ID 74291059508030
Vaccination Status / टीकाकरण क त Fully Vaccinated (2 Doses)
Vaccination Details
Vaccinated By / टीका लगाने वाले का नाम Sushma
GUJ UPHCNARPATNAGAR(BARRA)CV18, Kanpur Nagar,
Vaccination At / टीकाकरण का ान Uttar 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,
1/2 21 Sep 2021 COVISHIELD 4121AA018M non-replicating viral vector Serum Institute of India
COVID-19 vaccine, Serum Institute of India Pvt.
2/2 16 Dec 2021 COVISHIELD 4121MC141 non-replicating viral vector Ltd.
“दवाई भी और कड़ाई भी।
Together, India will defeat
COVID-19”
- धानमं ी
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]