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COVID-19 Vaccination Certificate India

This document is a COVID-19 vaccination certificate issued in India, confirming that the beneficiary, Sourabh Singh, is fully vaccinated with two doses of the COVISHIELD vaccine. The vaccinations were administered by Seema Yadav at Turiyaganj UCHC in Lucknow, Uttar Pradesh, with the first dose on July 13, 2021, and the second on October 20, 2021. The certificate includes a QR code for verification and contact information for reporting any adverse events.

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sourabh singh
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169 views1 page

COVID-19 Vaccination Certificate India

This document is a COVID-19 vaccination certificate issued in India, confirming that the beneficiary, Sourabh Singh, is fully vaccinated with two doses of the COVISHIELD vaccine. The vaccinations were administered by Seema Yadav at Turiyaganj UCHC in Lucknow, Uttar Pradesh, with the first dose on July 13, 2021, and the second on October 20, 2021. The certificate includes a QR code for verification and contact information for reporting any adverse events.

Uploaded by

sourabh singh
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 44465126703

Beneficiary Details
Beneficiary Name / लाभाथ का नाम Sourabh Singh

Age / उ 19

Gender / लग Male

ID Verified / पहचान प स ा पत Aadhaar # XXXXXXXX3064

Unique Health ID (UHID)


Beneficiary Reference ID 64679940732560

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

Vaccination Details
Vaccinated By / टीका लगाने वाले का नाम SEEMA YADAV

Vaccination At / टीकाकरण का ान Turiyaganj UCHC LUCKNOW, Lucknow, Uttar 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 13 Jul 2021 COVISHIELD 4121MC024 non-replicating viral vector Serum Institute of India

COVID-19 vaccine, Serum Institute of India Pvt.


2/2 20 Oct 2021 COVISHIELD 4121MF017 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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