Certificate for COVID-19 Vaccination
Issued in India by Ministry of Health & Family Welfare, Govt. of India
Certificate ID 43098086028
Beneficiary Details
Beneficiary Name / ಫ ಾನುಭ ಯ ಸರು Siddarth d
Age / ವಯಸು 19
Gender / ಂಗ Male
ID Verified / ಐ. . ಗುರುತು Aadhaar # XXXXXXXX3640
Unique Health ID (UHID) 52-0234-4250-4253
Beneficiary Reference ID 43484354986880
Vaccination Status / ಲ ೕ ಗ Fully Vaccinated (2 Doses)
Vaccination Details
Vaccine Name / ಲ ಸರು COVISHIELD
Vaccine Type / ಾವ ೕ ಯ ಲ COVID-19 vaccine, non-replicating viral vector
Manufacturer / ತ ಾರಕರು Serum Institute of India
Dose Number / ೂೕ ಸಂ 1/2 2/2
Date of Dose / ೂೕ ಾಂಕ 05 Jun 2021 13 Sep 2021
Batch Number / ಾ ಸಂ 4121Z086 4121AA009M
Vaccinated By / ಲ ೕ ದವರು DR SOWMYA
Vaccination At / ಲ ಾ ದ ಸಳ PHC JYOTHINAGARA 18-44 WP, Mysore,
Karnataka
“ಔಷ /ಲ ೕಕು,
ೂ ದೃಢ ೕಕು
Together, India will defeat
COVID-19”
- ಪ ಾನಮಂ ನ ೕಂದ ೕ
In case of any adverse events, kindly contact the nearest Public Health Center/
Healthcare Worker/District Immunization Officer/State Helpline No. 1075
ಾವ ೕ ಅಡಪ ಾಮ ಉಂ ಾದ ಸಂದಭ ದ , ದಯ ಟು ಸ ೕಪದ ಾವ ಜ ಕ ಆ ೂೕಗ
ೕಂದ /ಆ ೂೕಗ ಶುಷೂ ಾಯ ಕ / ಾ ಲ ಅ ಾ / ಾಜ ಸ ಾಯ ಾ ಸಂ. 1075
ಸಂಪ
This certificate can be verified by scanning the QR code at
[Link]