2 Ministry of Health & Family Welfare ‘Government of India Certificate for COVID-19 Vaccination Issued in India by Ministry of Health & Family Welfare, Govt. of India Certificate 1D 45238931192 Beneficiary Details Beneficiary Name / Teme aa Nishikant Dilip Khairnar Age / 36 Gender / fa Mate ID Vented / shapers Aadhaar # XXXXXKXX4521 Unique Health ID (UHID) Beneficiary Reference ID 67247188154700 Vaccination Status /aeteeor Rt Fully Vaccinated (2 Doses) Vaccination Details Vaccine Name / eft’ ara COVISHIELD Vaccine Type / 71 WR COVID-19 vaccine, non-replicating viral vector Manufacturer / eae ‘Serum Institute of India Pvt. Ltd. Dose Number / 21 arte v2 22 Date of Dose / eheref andar 2021-08-16 2021-11-10 Batch Number / da zona 41212129 a12iMFot7 Vaccinated By / aieaTart arate Dr. Akshata Gowari Vaccination At / setter’ Fras UPHC 5 Kharghar PMC, Raigad, Maharashtra + + Together, India will defeat COVID-19” In case of any adverse events, kindly contact the nearest Pubic Heath Center Healtncare Worker/Disrct mmunizaion OffcariStte Helpline No. 1075 stse Yar arfot feet Gar e pho ger osm sera ore ees rte iy eee sper frase ir COWIN Winning Over CovID This cetiicate can be verified by scanaing the OR code at Titpiivenlycowin gown