Certificate for COVID-19 Vaccination

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

Certificate ID 20178744644

Beneficiary Details
Beneficiary Name / ಫ ಾನುಭ ಯ ಸರು Adinarayanaswamy R

Age / ವಯಸು 32

Gender / ಂಗ Male

ID Verified / ಐ. . ಗುರುತು Aadhaar # XXXXXXXX4616

Unique Health ID (UHID) 56-3671-3674-4360

Beneficiary Reference ID 16291261382741

Vaccination Status / ಲ ೕ ಗ Fully Vaccinated (2 Doses) and a Precaution Dose

Vaccination Details
Vaccine Name / ಲ ಸರು COVISHIELD

Vaccine Type / ಾವ ೕ ಯ ಲ COVID-19 vaccine, non-replicating viral vector

Manufacturer / ತ ಾರಕರು Serum Institute of India Pvt. Ltd.

Dose Number / ೂೕ ಸಂ 1/2 2/2 Precaution dose

Date of Dose / ೂೕ ಾಂಕ 03 Mar 2021 05 Apr 2021 10 Jan 2022

Batch Number / ಾ ಸಂ 4120Z015 4121Z033 4121Z240

Vaccinated By / ಲ ೕ ದವರು Ashwini Mahabaleshwar Gunagi

Vaccination At / ಲ ಾ ದ ಸಳ Muddenahalli PHC, Chikkaballapur,

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