Certificate for COVID-19 Vaccination
Issued in India by Ministry of Health & Family Welfare, Govt. of India
Certificate ID
86407625111
Beneficiary Details
Beneficiary Name / लाभाथ का नाम
Ravikant Jayasawal
Age / उ
23
Gender / लग
Male
ID Verified / पहचान प स ा पत
PAN Card # BQWPJ7653K
Unique Health ID (UHID)
21376905700630
Beneficiary Reference ID
Vaccination Status / टीकाकरण क
त
Fully Vaccinated (2 Doses) and a Precaution Dose
Vaccination Details
Vaccinated By / टीका लगाने वाले का नाम
Asha Devi
Vaccination At / टीकाकरण का
SIKRARA CHANDPUR -CHC, Jaunpur, Uttar Pradesh
ान
Dose Number
Date of Dose
Vaccine Name
Batch Number
Vaccine Type
Manufacturer
खुराक क सं या
खुराक क तारीख
वै
बैच सं या
टीका का कार
उ पादक
1/2
09 Jun 2021
COVISHIELD
4121Z092
COVID-19 vaccine,
non-replicating viral vector
Serum Institute of India
2/2
04 Sep 2021
COVISHIELD
4121MC068
COVID-19 vaccine,
non-replicating viral vector
Serum Institute of India
Precaution dose
11 Sep 2022
COVISHIELD
4122Z020
COVID-19 vaccine,
non-replicating viral vector
Serum Institute of India Pvt.
Ltd.
ीन का नाम
“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
अ धकारी/रा
ात कसी तकूल घटना के होने पर नज़दीक
ह लाइन 1075 पर स क कर
ा
क / ा
कम / जला टीकाकरण
This certificate can be verified by scanning the QR code at
http://verify.cowin.gov.in