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Certificate

This document is a certificate of vaccination issued by the Ministry of Health & Family Welfare, Government of India. [1] It provides details of the vaccination of Basavaraj, a 13-year old female student, including the dates and types of two doses of CORBEVAX vaccine administered. [2] The vaccinations were given by Asha T.N at PHC Venkatagiri in Koppal, Karnataka. [3] Contact information is provided in case of any adverse events.

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Subhash P Chalawadi
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49 views1 page

Certificate

This document is a certificate of vaccination issued by the Ministry of Health & Family Welfare, Government of India. [1] It provides details of the vaccination of Basavaraj, a 13-year old female student, including the dates and types of two doses of CORBEVAX vaccine administered. [2] The vaccinations were given by Asha T.N at PHC Venkatagiri in Koppal, Karnataka. [3] Contact information is provided in case of any adverse events.

Uploaded by

Subhash P Chalawadi
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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Certificate for COVID-19 Vaccination

Issued in India by Ministry of Health & Family Welfare, Govt. of India


Certificate ID 21382116349

Beneficiary Details
Beneficiary Name / ಫ ಾನುಭ ಯ ಸರು Basavaraj

Age / ವಯಸು 13

Gender / ಂಗ Female

ID Verified / ಐ. . ಗುರುತು Student Photo Id Card # 065874668

Unique Health ID (UHID)


Beneficiary Reference ID 16282315839787
Vaccination Status / ಲ ೕ ಗ Fully Vaccinated (2 Doses)

Vaccination Details
Vaccinated By / ಲ ೕ ದವರು Asha T.N

Vaccination At / ಲ ಾ ದ ಸಳ PHC Venkatagiri, Koppal, Karnataka

Dose Number Date of Dose Vaccine Name Batch Number Vaccine Type Manufacturer
ೂೕ ಸಂ ೂೕ ಾಂಕ ಲ ಸರು ಾ ಸಂ ಾವ ೕ ಯ ಲ ತ ಾರಕರು

COVID-19 vaccine, virus


1/2 25 Mar 2022 CORBEVAX 223201221a protein subunit Biological E. Limited

COVID-19 vaccine, virus


2/2 23 Jun 2022 CORBEVAX 223201221a protein subunit Biological E. Limited

“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


http://verify.cowin.gov.in

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