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COVID-19 Vaccination Certificate India

This document is a COVID-19 vaccination certificate issued in India for beneficiary Aryan Soni, who is fully vaccinated with two doses and a precaution dose of the COVISHIELD vaccine. The vaccinations were administered by Sampat Devi in Mahoba, Uttar Pradesh, with the first dose on June 2, 2021, and the precaution dose on July 23, 2022. The certificate includes a QR code for verification and contact information for reporting adverse events.

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Aryan Soni
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64 views1 page

COVID-19 Vaccination Certificate India

This document is a COVID-19 vaccination certificate issued in India for beneficiary Aryan Soni, who is fully vaccinated with two doses and a precaution dose of the COVISHIELD vaccine. The vaccinations were administered by Sampat Devi in Mahoba, Uttar Pradesh, with the first dose on June 2, 2021, and the precaution dose on July 23, 2022. The certificate includes a QR code for verification and contact information for reporting adverse events.

Uploaded by

Aryan Soni
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

Certificate for COVID-19 Vaccination

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


Certificate ID 98151263895

Beneficiary Details
Beneficiary Name / लाभाथ का नाम Aryan Soni

Age / उ 22

Gender / लग Male

ID Verified / पहचान प स ा पत Aadhaar # XXXXXXXX5606

Unique Health ID (UHID) 55-5748-2201-0532

Beneficiary Reference ID 21811532047140

Vaccination Status / टीकाकरण क त Fully Vaccinated (2 Doses) and a Precaution Dose

Vaccination Details
Vaccinated By / टीका लगाने वाले का नाम Sampat Devi

Vaccination At / टीकाकरण का ान Jaitpur 18-44, Mahoba, 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 02 Jun 2021 COVISHIELD 4121Z079 non-replicating viral vector Serum Institute of India

COVID-19 vaccine,
2/2 03 Sep 2021 COVISHIELD 4121MC067 non-replicating viral vector Serum Institute of India

COVID-19 vaccine, Serum Institute of India Pvt.


Precaution dose 23 Jul 2022 COVISHIELD 4121AA092M 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]

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