Provisional Certificate for COVID-19 Vaccination - 1st Dose

Beneficiary Details

Beneficiary Name / ಫ ಾನುಭ ಯ ಸರು Chandhramma

Age / ವಯಸು 39

Gender / ಂಗ Female

ID Verified / ಐ. . ಗುರುತು Aadhaar # XXXXXXXX0817

Unique Health ID (UHID)

Beneficiary Reference ID 16288688543093

Vaccination Details

Vaccine Name / ಲ ಸರು COVISHIELD

Date of 1st Dose / ದಲ ೂೕ ಾಂಕ 28 Jun 2021 (Batch no. 4121MC012)

Next due date / ಮುಂ ನ ಲ ೕಡುವ ಾಂಕ Between 20 Sep 2021 and 18 Oct 2021

Vaccinated by / ಲ ೕ ದವರು JAYAMMA

Vaccination at / ಲ ಾ ದ ಸಳ Thalkere PHC CoV, Tumkur, Karnataka

“ಔಷ /ಲ ೕಕು,
ೂ ದೃಢ ೕಕು
Together, India will defeat
COVID-19”
- ಪ ಾನಮಂ ನ ೕಂದ ೕ

In case of any adverse events, kindly contact the nearest Public Health Center/
Healthcare Worker/District Immunization Officer/State Helpline No. 1075
ಾವ ೕ ಅಡಪ ಾಮ ಉಂ ಾದ ಸಂದಭ ದ , ದಯ ಟು ಸ ೕಪದ ಾವ ಜ ಕ ಆ ೂೕಗ
ೕಂದ /ಆ ೂೕಗ ಶುಷೂ ಾಯ ಕ / ಾ ಲ ಅ ಾ / ಾಜ ಸ ಾಯ ಾ ಸಂ. 1075
ಸಂಪ

This certificate can be verified by scanning the QR code at

http://verify.cowin.gov.in