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COVID-19 Vaccination Certificate India

This document is a COVID-19 vaccination certificate issued in India for an individual named Yash Kumar, who is 23 years old and fully vaccinated with two doses of the COVISHIELD vaccine. The vaccination was administered by Kamal Kumari at Ishani G School in South Delhi, with the first dose on June 10, 2021, and the second on October 25, 2021. The certificate includes a QR code for verification and contact information for reporting any adverse events.

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yashk869
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37 views1 page

COVID-19 Vaccination Certificate India

This document is a COVID-19 vaccination certificate issued in India for an individual named Yash Kumar, who is 23 years old and fully vaccinated with two doses of the COVISHIELD vaccine. The vaccination was administered by Kamal Kumari at Ishani G School in South Delhi, with the first dose on June 10, 2021, and the second on October 25, 2021. The certificate includes a QR code for verification and contact information for reporting any adverse events.

Uploaded by

yashk869
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 57664608111

Beneficiary Details
Beneficiary Name / लाभाथ का नाम Yash Kumar

Age / उ 23

Gender / लग Male

ID Verified / पहचान प स ा पत Aadhaar # XXXXXXXX4242

Unique Health ID (UHID)


Beneficiary Reference ID 17748906824190

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

Vaccination Details
Vaccinated By / टीका लगाने वाले का नाम KAMAL KUMARI

Vaccination At / टीकाकरण का ान ISHANI G SCHOOL G BK SAKET S 1, South Delhi, Delhi

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 10 Jun 2021 COVISHIELD 4121Z093 non-replicating viral vector Serum Institute of India

COVID-19 vaccine, Serum Institute of India Pvt.


2/2 25 Oct 2021 COVISHIELD 4121MC103 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]

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