Certificate for COVID-19 Vaccination

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

Certificate ID 77288899565

Beneficiary Details
Beneficiary Name / ಫ ಾನುಭ ಯ ಸರು Rohith H M

Age / ವಯಸು 22

Gender / ಂಗ Male

ID Verified / ಐ. . ಗುರುತು Aadhaar # XXXXXXXX9523

Unique Health ID (UHID)

Beneficiary Reference ID 16268176450377
Vaccination Status / ಲ ೕ ಗ Fully Vaccinated (2 Doses) and a Precaution Dose

Vaccination Details
Vaccinated By / ಲ ೕ ದವರು dadapeer

Vaccination At / ಲ ಾ ದ ಸಳ HYR HARIYABBE COX, Chitradurga, Karnataka

Dose Number Date of Dose Vaccine Name Batch Number Vaccine Type Manufacturer
ೂೕ ಸಂ ೂೕ ಾಂಕ ಲ ಸರು ಾ ಸಂ ಾವ ೕ ಯ ಲ ತ ಾರಕರು

COVID-19 vaccine,
1/2 25 Jun 2021 COVAXIN 4121MC009 inactivated virus Bharat Biotech, India

COVID-19 vaccine,
2/2 04 Aug 2021 COVAXIN 4121MC009 inactivated virus Bharat Biotech, India

COVID-19 vaccine,
Precaution dose 14 Dec 2022 COVAXIN C 1 0 /22007 inactivated virus Bharat Biotech, India

“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