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Certificate

This document is a certificate of COVID-19 vaccination issued by the Ministry of Health & Family Welfare of India for Sourabh Kumar, a 22-year-old male. It shows that he received two doses of the COVISHIELD vaccine, with the first dose on August 20, 2021 and the second dose on November 16, 2021. Both doses were administered by Sonika at Kanjar Basera in Amroha, Uttar Pradesh.

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84 views

Certificate

This document is a certificate of COVID-19 vaccination issued by the Ministry of Health & Family Welfare of India for Sourabh Kumar, a 22-year-old male. It shows that he received two doses of the COVISHIELD vaccine, with the first dose on August 20, 2021 and the second dose on November 16, 2021. Both doses were administered by Sonika at Kanjar Basera in Amroha, Uttar Pradesh.

Uploaded by

mobileshop001ms
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 26526678561

Beneficiary Details
Beneficiary Name / लाभाथ का नाम Sourabh Kumar

Age / उ 22

Gender / लग Male

ID Verified / पहचान प स ा पत Aadhaar # XXXXXXXX1820

Unique Health ID (UHID)


Beneficiary Reference ID 65561758703620

Vaccination Status / टीकाकरण क त Fully Vaccinated (2 Doses)

Vaccination Details
Vaccinated By / टीका लगाने वाले का नाम Sonika

Vaccination At / टीकाकरण का ान Kanjar Basera, Amroha, Uttar Pradesh

Dose Number Date of Dose Vaccine Name Batch Number Vaccine Type Manufacturer
खुराक क सं या खुराक क तारीख वै ीन का नाम बैच सं या टीका का कार उ पादक

COVID-19 vaccine,
1/2 20 Aug 2021 COVISHIELD 4121MC049 non-replicating viral vector Serum Institute of India

COVID-19 vaccine, Serum Institute of India Pvt.


2/2 16 Nov 2021 COVISHIELD 4121Z014M non-replicating viral vector Ltd.

“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

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