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COVID-19 Vaccination Certificate India

This document is a COVID-19 vaccination certificate issued in India for Sarita Devi, a 36-year-old female, confirming her full vaccination status with two doses of the COVISHIELD vaccine. The vaccination was administered by Rajendra Singh Sagar at AIIMS AYOUSH in Gorakhpur, Uttar Pradesh. The certificate includes a unique ID, vaccination details, and a QR code for verification.

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ncccadetvishal45
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68 views1 page

COVID-19 Vaccination Certificate India

This document is a COVID-19 vaccination certificate issued in India for Sarita Devi, a 36-year-old female, confirming her full vaccination status with two doses of the COVISHIELD vaccine. The vaccination was administered by Rajendra Singh Sagar at AIIMS AYOUSH in Gorakhpur, Uttar Pradesh. The certificate includes a unique ID, vaccination details, and a QR code for verification.

Uploaded by

ncccadetvishal45
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 80417214781

Beneficiary Details
Beneficiary Name / लाभाथ का नाम Sarita Devi

Age / उ 36

Gender / लग Female

ID Verified / पहचान प स ा पत Aadhaar # XXXXXXXX8258

Unique Health ID (UHID)


Beneficiary Reference ID 34654461484185

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

Vaccination Details
Vaccinated By / टीका लगाने वाले का नाम Rajendra Singh Sagar
AIIMS AYOUSH ABHIBHAVak 18 ABV, Gorakhpur, Uttar
Vaccination At / टीकाकरण का ान 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, Serum Institute of India Pvt.


1/2 15 Jul 2021 COVISHIELD 4121Z125 non-replicating viral vector Ltd.

COVID-19 vaccine, Serum Institute of India Pvt.


2/2 08 Nov 2021 COVISHIELD 4121ZO12M 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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