Certificate for COVID-19 Vaccination

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

Certificate ID 86011652438

Beneficiary Details
Beneficiary Name / लाभाथ का नाम Om Prakash

Age / उ 45

Gender / लग Male

ID Verified / पहचान प स ा पत Aadhaar # XXXXXXXX2172

Unique Health ID (UHID)

Beneficiary Reference ID 34693567876419

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

Vaccination Details
Vaccinated By / टीका लगाने वाले का नाम Kiran Lata

Vaccination At / टीकाकरण का ान CHC Chopan (18 Above), Sonbhadra, 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 08 Apr 2021 COVISHIELD 4120Z011 non-replicating viral vector Serum Institute of India

COVID-19 vaccine,
2/2 24 Aug 2021 COVISHIELD 4121Z162 non-replicating viral vector Serum Institute of India

“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