Certificate for COVID-19 Vaccination
Issued in India by Ministry of Health & Family Welfare, Govt. of India
Certificate ID 60772303910
Beneficiary Details
Beneficiary Name / लाभाथ का नाम Ssubhawati
Age / उ 26
Gender / लग Female
ID Verified / पहचान प स ा पत Aadhaar # XXXXXXXX3177
Unique Health ID (UHID)
Beneficiary Reference ID 13907587032550
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
Dose Number / खुराक क सं या 1/2
Date of Dose / खुराक क तारीख 2021-09-06
Batch Number / बैच सं या 4121MC073
Next Due Date / अगली नयत त थ Between 29 Nov 2021 and 27 Dec 2021
Vaccinated By / टीका लगाने वाले का नाम Ruchi Srivastava
Vaccination At / टीकाकरण का ान VIS MAGHI MATHIA, Kushinagar, Uttar
Pradesh
“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
