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Certificate for COVID-19 Vaccination

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


Certificate ID 36594474242

Beneficiary Details
Beneficiary Name / ಫ ಾನುಭ ಯ ಸರು Chirag U

Age / ವಯಸು 19

Gender / ಂಗ Male

ID Verified / ಐ. . ಗುರುತು Aadhaar # XXXXXXXX6174

Unique Health ID (UHID)


Beneficiary Reference ID 16265565986909
Vaccination Status / ಲ ೕ ಗ Fully Vaccinated (2 Doses)

Vaccination Details
Vaccinated By / ಲ ೕ ದವರು HEMAVATHI
MANGANAHALLI Sub Center, Bangalore Urban,
Vaccination At / ಲ ಾ ದ ಸಳ 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,
1/2 21 Jun 2021 COVISHIELD 4121Z102 non-replicating viral vector Serum Institute of India

COVID-19 vaccine,
2/2 28 Sep 2021 COVISHIELD 4121Z002M non-replicating viral vector Serum Institute of India

“ಔಷ /ಲ ೕಕು, ೂ ದೃಢ ೕಕು


Together, India will defeat
COVID-19”
- ಪ ಾನಮಂ

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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