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COVID-19 Vaccination Certificate Details

This document is a COVID-19 vaccination certificate issued in India for beneficiary Madanlal Vishwakarma, who is 75 years old and fully vaccinated with two doses of COVISHIELD. The vaccinations were administered on March 8, 2021, and April 11, 2021, at CHC Shamshabad Hospital in Madhya Pradesh. The certificate includes a QR code for verification and provides contact information for reporting any adverse events.

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25 views1 page

COVID-19 Vaccination Certificate Details

This document is a COVID-19 vaccination certificate issued in India for beneficiary Madanlal Vishwakarma, who is 75 years old and fully vaccinated with two doses of COVISHIELD. The vaccinations were administered on March 8, 2021, and April 11, 2021, at CHC Shamshabad Hospital in Madhya Pradesh. The certificate includes a QR code for verification and provides contact information for reporting any adverse events.

Uploaded by

Champion Boy
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 41164931864

Beneficiary Details
Beneficiary Name / लाभाथ का नाम Madanlal Vishwakarma

Age / उ 75

Gender / लग Male

ID Verified / पहचान प स ा पत Aadhaar # XXXXXXXX9391

Unique Health ID (UHID)


Beneficiary Reference ID 20355444190089

Vaccination Status / टीकाकरण क त Fully Vaccinated (2 Doses)

Vaccination Details
Vaccinated By / टीका लगाने वाले का नाम Prema Vist

Vaccination At / टीकाकरण का ान CHC Shamshabad 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,
1/2 08 Mar 2021 COVISHIELD 4120Z012 non-replicating viral vector Serum Institute of India

COVID-19 vaccine,
2/2 11 Apr 2021 COVISHIELD 4121Z032 non-replicating viral vector Serum Institute of India

“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]

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