Certificate for COVID-19 Vaccination
Issued in India by Ministry of Health & Family Welfare, Govt. of India
Certificate ID 17685437276
Beneficiary Details
Beneficiary Name / लाभाथ का नाम Pradeep Banerjee
Age / उ 20
Gender / लग Male
ID Verified / पहचान प स ा पत Aadhaar # XXXXXXXX3906
Unique Health ID (UHID) 35-7780-6121-3245
Beneficiary Reference ID 25595271658020
Vaccination Status / टीकाकरण क त Fully Vaccinated (2 Doses)
Vaccination Details
Vaccinated By / टीका लगाने वाले का नाम GITA KUMARI
Vaccination At / टीकाकरण का ान BALAK KARKEND MS DHANBAD, Dhanbad, Jharkhand
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 05 Jun 2021 COVISHIELD 4121Z088 non-replicating viral vector Serum Institute of India
COVID-19 vaccine,
2/2 30 Aug 2021 COVISHIELD 4121MC069 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