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Certificate for COVID-19 Vaccination

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


Certificate ID 14136770907

Beneficiary Details
Beneficiary Name / ల S T P Kanchan Tarun

Age / వయ 24

Gender / ంగం Male

ID Verified / ఐ ధృ క ంచబ ం PAN Card # JATPS7433B

Unique Health ID (UHID)


Beneficiary Reference ID 23321362971990
Vaccination Status / ట Fully Vaccinated (2 Doses)

Vaccination Details
Vaccine Name / COVISHIELD

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

Manufacturer / త Serum Institute of India

Dose Number / సంఖ 1/2 2/2

Date of Dose / 12 Jun 2021 20 Sep 2021

Batch Number / నంబ 4121Z086 4121MF001

Vaccinated By / ం న G Suvarnakumari

Vaccination At / న Simhachalam RHC CVC, Visakhapatnam,

Andhra Pradesh

“ పత ం
Together, India will defeat
COVID-19”
- ప నమం న ంద

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

ఏ ప ల సంఘటన జ , దయ స ప ప గ ందం / వర /
ఇ ష ఆ స సంప ంచం / ష ం. 1075

This certificate can be verified by scanning the QR code at


http://verify.cowin.gov.in

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