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Ministry of Health & Family Welfare
Government of India
Provisional Certificate for COVID-19 Vaccination - 1** Dose
Beneficiary Details
Beneficiary Name / feotfeatata arr Shantanu Boruah
Age / a4 a
Gender / ferest Male
ID Verified / sifapa sta sronttsts PAN Card # DTXPBS547L_
Unique Health ID (UHID)
Beneficiary Reference ID 24552497035810
Vaccination Details
Vaccine Name / faire ati COVISHIELD
Date of Dose / sifera wifeet 25 Jun 2021 (Batch no. 41212063)
Next due date / taast fae wrfaet Between 15 Sep2021 and 12 Oct 2021
Vaccinated by / Btarpact ofare Palashi Bora
Vaccination at / Brareata eT Malow Ali High School, Jorhat, Assam
+
+
@ “aed THATS TSTATTS
Together, India will defeat
COVID-19”
(a
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