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Provisional Certificate For COVID-19 Vaccination - 1 Dose: Beneficiary Details

This document is a provisional certificate for COVID-19 vaccination for Ashwini Upadhya, a 58-year-old female, who received her first dose of the COVISHIELD vaccine on July 29, 2021. The next due date for her second dose is between October 21, 2021, and November 18, 2021, and the vaccination was administered by Priya Padvi in Pune, Maharashtra. The certificate includes information on how to report any adverse events and can be verified via a QR code.

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Maayur Upadhy
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24 views1 page

Provisional Certificate For COVID-19 Vaccination - 1 Dose: Beneficiary Details

This document is a provisional certificate for COVID-19 vaccination for Ashwini Upadhya, a 58-year-old female, who received her first dose of the COVISHIELD vaccine on July 29, 2021. The next due date for her second dose is between October 21, 2021, and November 18, 2021, and the vaccination was administered by Priya Padvi in Pune, Maharashtra. The certificate includes information on how to report any adverse events and can be verified via a QR code.

Uploaded by

Maayur Upadhy
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
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Provisional Certificate for COVID-19 Vaccination - 1st Dose

Beneficiary Details

Beneficiary Name / लाभाथ चे नाव Ashwini Upadhya

Age / वय 58

Gender / लग Female

ID Verified / ओळखप Aadhaar # XXXXXXXX5515

Unique Health ID (UHID)


Beneficiary Reference ID 21363320317933

Vaccination Details

Vaccine Name / लसीचे नाव COVISHIELD

Date of 1st Dose / प ह ा डोसची तारीख 29 Jul 2021 (Batch no. 4121Z122)

Next due date / पुढील दय तारीख Between 21 Oct 2021 and 18 Nov 2021

Vaccinated by / यां ा ार लसीकरण PRIYA PADVI

Vaccination at / लसीकरणाचे ळ RurG/IND/RH NIMGAON KETKI, Pune, Maharashtra

औषध सु ा आ ण श सु ा
Together, India will defeat
COVID-19”
- पंत धान ी. नर मोदी

In case of any adverse events, kindly contact the nearest Public Health Center/
Healthcare Worker/District Immunization Officer/State Helpline No. 1075

कोणतेही तकूल प रणाम आढळू न आ यास कृपया जवळचे सावज नक आरो य क / आरो यसेवा
कमचारी/ ज हा लसीकरण अ धकारी/ रा य ह पलाइन मांक १०७५ वर संपक साधा.

This certificate can be verified by scanning the QR code at


http://verify.cowin.gov.in

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