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    Provisional Certificate For COVID-19 Vaccination - 1 Dose: Beneficiary Details

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    Tapaswinee Samal
    This document is a provisional COVID-19 vaccination certificate for Tapaswini Samal, a 23-year-old female. It states that she received the first dose of the COVISHIELD vaccine on August 3, 2021 at the NC COVID CARE CENTER in Jajpur, Odisha. She is due for her second dose between October 26 and November 23, 2021. The vaccine was administered by Debabrata Sahani. Contact information is provided in case of any adverse events.

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    Provisional Certificate For COVID-19 Vaccination - 1 Dose: Beneficiary Details

    Uploaded by

    Tapaswinee Samal
    16 views1 page
    This document is a provisional COVID-19 vaccination certificate for Tapaswini Samal, a 23-year-old female. It states that she received the first dose of the COVISHIELD vaccine on August 3, 2021 at the NC COVID CARE CENTER in Jajpur, Odisha. She is due for her second dose between October 26 and November 23, 2021. The vaccine was administered by Debabrata Sahani. Contact information is provided in case of any adverse events.

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    This document is a provisional COVID-19 vaccination certificate for Tapaswini Samal, a 23-year-old female. It states that she received the first dose of the COVISHIELD vaccine on August 3, 2021 at the NC COVID CARE CENTER in Jajpur, Odisha. She is due for her second dose between October 26 and November 23, 2021. The vaccine was administered by Debabrata Sahani. Contact information is provided in case of any adverse events.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pdf or txt
    16 views1 page

    Provisional Certificate For COVID-19 Vaccination - 1 Dose: Beneficiary Details

    Uploaded by

    Tapaswinee Samal
    This document is a provisional COVID-19 vaccination certificate for Tapaswini Samal, a 23-year-old female. It states that she received the first dose of the COVISHIELD vaccine on August 3, 2021 at the NC COVID CARE CENTER in Jajpur, Odisha. She is due for her second dose between October 26 and November 23, 2021. The vaccine was administered by Debabrata Sahani. Contact information is provided in case of any adverse events.

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    Provisional Certificate for COVID-19 Vaccination - 1st Dose

    Beneficiary Details

    Beneficiary Name / ଲାଭାଥୀ ର ନାମ Tapaswini Samal

    Age / ବୟସ 23

    Gender / ଲ Female

    ID Verified / ଆଇଡି ସତ ାପିତ େହାଇଛି Voter ID # UEA1057876

    Unique Health ID (UHID)


    Beneficiary Reference ID 85713150247870

    Vaccination Details

    Vaccine Name / ଟିକା ନାମ COVISHIELD

    Date of 1st Dose / ପଥମ େଡାଜର ତାରିଖ 03 Aug 2021 (Batch no. 4121MC042)

    Next due date / ପରବ ୀ ଟୀକାକରଣ ତାରିଖ Between 26 Oct 2021 and 23 Nov 2021

    Vaccinated by / ଟିକା େଦଉଥବା ବ କି ନାମ Debabrata Sahani

    Vaccination at / ଟୀକାକରଣ ସାନ NC COVID CARE CENTER Jajpur, Jajpur,

    Odisha

    “ଔଷଧ ମ ଏବଂ କେଠାରତା ମ


    Together, India will defeat
    COVID-19”
    - ପଧାନମନୀ ନେର େମାଦି

    In case of any adverse events, kindly contact the nearest Public Health Center/
    Healthcare Worker/District Immunization Officer/State Helpline No. 1075
    େକୗଣସି ପକାର ପତିକୂଳ ଘଟଣା ଘଟିେଲ ଦୟାକରି ନିକଟସ ଜନସାସ େକ / ସାସ େସବା କମୀ / ଜିଲା
    ଟୀକାକରଣ ଅଫସର / ରାଜ େହଲଲାଇନ ନମର 1075 ସହିତ େଯାଗାେଯାଗ କର

    This certificate can be verified by scanning the QR code at


    http://verify.cowin.gov.in

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