Beneficiary Details
Beneficiary Name / *faerretSta AMT
Age / 07
Gender / fer
ID Verified / wre f& aa sera
Unique Health ID (UHID)
Beneficiary Reference ID
Vaccination Status / fParearcta Fete
Vaccination Details
Vaccine Name / OTePis aH
Vaccine Type / BirePnad 87
Manufacturer / SYO@tas
Dose Number / (STS 7d
Date of Dose / corer wrfret
Batch Number / 15 A8H
Vaccinated By / Brere‘t
Vaccination At / Broreatcta a
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COVID-19”
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tn a ‘of any sents, kindly contact the nearest Public Health Center!
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eafTEaTEN CHBCMEN AL 09G & CEMA ST
COWIN
Winning Over COVID
“tate St ara Sets Sh
Together, India will defeat
Ministry of Health & Family Welfare
Government of India
Certificate for COVID-19 Vaccination
Issued in India by Ministry of Health & Family Welfare, Govt. of India
Certificate 10-265********
Subir Pal
2
Male
Aadhaar # XXXXXXXX4075
Fully Vaccinated (2 Doses)
COVISHIELD
COVID-19 vaccine, non-replicating viral vector
Serum Institute of India Pvt. Ltd.
v2 22
30 Oct 2021 22 Jan 2022
4121AA042M 4121AA074M.
DOLLY BERA
SS HMC U3 18-44, Howrah, West Bengal
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This certificate can be verified by scanning the OR code at
itp venty cowin gov.n