Certificate for COVID-19 Vaccination
Issued in India by Ministry of Health & Family Welfare, Govt. of India
Certificate ID 41663671328
Beneficiary Details
Beneficiary Name / लाभाथ का नाम Mohit Kumar Shah
Age / उ 42
Gender / लग Male
ID Verified / पहचान प स ा पत Aadhaar # XXXXXXXX2442
Unique Health ID (UHID)
Beneficiary Reference ID 7109168777958
Vaccination Status / टीकाकरण क त Fully Vaccinated (2 Doses) and a Precaution Dose
Vaccination Details
Vaccinated By / टीका लगाने वाले का नाम Jyoti biswas
Vaccination At / टीकाकरण का ान UPHC DEVPURI, Raipur, Chhattisgarh
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 19 Jun 2021 COVISHIELD 4121MC100 non-replicating viral vector Ltd.
COVID-19 vaccine, Serum Institute of India Pvt.
2/2 16 Oct 2021 COVISHIELD 4121MC100 non-replicating viral vector Ltd.
COVID-19 vaccine, Serum Institute of India Pvt.
Precaution dose 29 Sep 2022 COVISHIELD 4122Z010M 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]
