Certificate for COVID-19 Vaccination
Issued in India by Ministry of Health & Family Welfare, Govt. of India
Certificate ID
35021029845
Beneficiary Details
Beneficiary Name / பலனா
ெபய
Jagadeesh R
Age / வய
33
Gender / பா ன
Male
ID Verified / அைடயாள சா
Aadhaar # XXXXXXXX8789
Unique Health ID (UHID)
Beneficiary Reference ID
76324443112960
Vaccination Status / த
ைல
Fully Vaccinated (2 Doses)
Vaccination Details
Vaccine Name / த
ெபய
COVISHIELD
Vaccine Type / த
வைக
COVID-19 vaccine, non-replicating viral vector
Manufacturer / உ ப
யாள
Serum Institute of India Pvt. Ltd.
Dose Number / ேடா
எ
1/2
2/2
Date of Dose / ேடா
வழ க ப ட ேத
13 Aug 2021
12 Nov 2021
Batch Number / ேப
எ
4121Z110
4121Z115
Vaccinated By / த
ைய வழ
யவ
Vaccination At / த
வழ க ப ட இட
DR KRISHNARAJ
Sri Ramakrishna Hospital CVC,
Coimbatore, Tamil Nadu
“ம
மன
ம
ட
Together, India will defeat
COVID-19”
-
ரதம ம
நேர
ர ேமா
In case of any adverse events, kindly contact the nearest Public Health Center/
Healthcare Worker/District Immunization Officer/State Helpline No. 1075
ஏேத
எ மைற ைள க ஏ ப டா , தய ெச
அ காைம
காதார ைமய / ஆேரா ய பராம
ப யாள / மாவ ட த
மா ல உத எ . 1075ஐ ெதாட ெகா ள .
ள ெபா
அ வல /
This certificate can be verified by scanning the QR code at
http://verify.cowin.gov.in