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Certificate for COVID-19 Vaccination

Issued in India by Ministry of Health & Family Welfare, Govt. of India


Certificate ID 10631429816

Beneficiary Details
Beneficiary Name Gorakshnath Ramchandra Humbe

Age 41

Gender Male

ID Verified Aadhaar # XXXXXXXX2350

Unique Health ID (UHID)


Beneficiary Reference ID 21392970737110
Vaccination Status Fully Vaccinated (2 Doses)

Vaccination Details
Vaccine Name COVISHIELD

Vaccine Type COVID-19 vaccine, non-replicating viral vector

Manufacturer Serum Institute of India Pvt. Ltd.

Dose Number 1/2 2/2

Date of Dose 2021-09-03 2021-11-26

Batch Number 4121P161 4121AA053M

Vaccinated By Vijaya Kale

Vaccination At NMMC GENERAL HOSPITAL VASHI10A

Together, India will defeat


COVID-19”
- Prime Minister Narendra Modi

In case of any adverse events, kindly contact the nearest Public Health Center/
Healthcare Worker/District Immunization Officer/State Helpline No. 1075

This certificate can be verified by scanning the QR code at


http://verify.cowin.gov.in

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