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    Shubham Patil
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    This provisional certificate provides details of Vimal Vishwas Saindane receiving the first dose of the COVAXIN vaccine on March 22, 2021 at the Shree Vighnaharta Public Hosp. in Dhule. It lists her details including name, age, gender and ID number. It also states she should receive her second dose between April 19 and May 3, 2021 and was vaccinated by Saurabh Agrawal. Contact information is provided in case of any adverse effects.

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    Certificate (1)

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    This provisional certificate provides details of Vimal Vishwas Saindane receiving the first dose of the COVAXIN vaccine on March 22, 2021 at the Shree Vighnaharta Public Hosp. in Dhule. It lists her details including name, age, gender and ID number. It also states she should receive her second dose between April 19 and May 3, 2021 and was vaccinated by Saurabh Agrawal. Contact information is provided in case of any adverse effects.

    Copyright:

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

    Certificate

    Uploaded by

    Shubham Patil
    This provisional certificate provides details of Vimal Vishwas Saindane receiving the first dose of the COVAXIN vaccine on March 22, 2021 at the Shree Vighnaharta Public Hosp. in Dhule. It lists her details including name, age, gender and ID number. It also states she should receive her second dose between April 19 and May 3, 2021 and was vaccinated by Saurabh Agrawal. Contact information is provided in case of any adverse effects.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    of 1

    Provisional Certificate for COVID-19 Vaccination - 1st Dose

    Beneficiary Details

    Beneficiary Name Vimal Vishwas Saindane

    Age 66

    Gender Female

    ID Verified Aadhaar # XXXXXXXX6170

    Unique Health ID (UHID)


    Beneficiary Reference ID 21388835553889

    Vaccination Details

    Vaccine Name COVAXIN

    Date of Dose 22 Mar 2021 (Batch no. 37F21006A)

    Next due date Between 19 Apr 2021 and 03 May 2021

    Vaccinated by Saurabh Agrawal

    Vaccination at Shree Vighnaharta Public Hosp., Dhule

    Together, India will defeat


    COVID-19”
    - Prime Minister

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

    This is a secure QR code. For further details, please visit


    https://verify.cowin.gov.in

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