Certificate for COVID-19 Vaccination
Issued in India by Ministry of Health & Family Welfare, Govt. of India
Certificate ID 69001211763
Beneficiary Details
Beneficiary Name / लाभाथ का नाम Jayanti Midha
Age / उ 19
Gender / लग Female
ID Verified / पहचान प स ा पत Aadhaar # XXXXXXXX2900
Unique Health ID (UHID)
Beneficiary Reference ID 60513061120720
Vaccination Status / टीकाकरण क त Partially Vaccinated (1 Dose)
Vaccination Details
Vaccine Name / वै ीन का नाम COVISHIELD
Vaccine Type / टीका का कार COVID-19 vaccine, non-replicating viral vector
Manufacturer / उ पादक Serum Institute of India Pvt. Ltd.
Dose Number / खुराक क सं या 1/2
Date of Dose / खुराक क तारीख 2022-01-05
Batch Number / बैच सं या 4121AA076M
Next Due Date / अगली नयत त थ Between 30 Mar 2022 and 27 Apr 2022
Vaccinated By / टीका लगाने वाले का नाम Savita
Vaccination At / टीकाकरण का ान Polyclinic Sector31 3, Gurgaon, Haryana
“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
http://verify.cowin.gov.in