Certificate for COVID-19 Vaccination

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

Certificate ID 83250452973

Beneficiary Details
Beneficiary Name / लाभाथ चे नाव Sawant Surekha Ravindra

Age / वय 45

Gender / लग Female

ID Verified / ओळखप Aadhaar # XXXXXXXX9527

Unique Health ID (UHID) 72-7325-8643-7247

Beneficiary Reference ID 8981268076768

Vaccination Status / लसीकरण ती Fully Vaccinated (2 Doses)

Vaccination Details
Vaccinated By / यां ा ार लसीकरण Mr. Vikas Handore

Vaccination At / लसीकरणाचे ळ ECHS Polyclinic Devlali, Nashik, Maharashtra

Dose Number Date of Dose Vaccine Name Batch Number Vaccine Type Manufacturer
डोस मांक डोसची तारीख लसीचे नाव बॅच मांक लस कार उ पादक

COVID-19 vaccine,
1/2 08 Apr 2021 COVISHIELD 4120Z012 non-replicating viral vector Serum Institute of India

COVID-19 vaccine,
2/2 12 Jul 2021 COVISHIELD 4121MC019 non-replicating viral vector Serum Institute of India

औषध सु ा आ ण श सु ा
Together, India will defeat
COVID-19”
- पंत धान ी. नर मोदी

In case of any adverse events, kindly contact the nearest Public Health Center/
Healthcare Worker/District Immunization Officer/State Helpline No. 1075
कोणतेही तकूल प रणाम आढळू न आ यास कृपया जवळचे सावज नक आरो य क / आरो यसेवा
कमचारी/ ज हा लसीकरण अ धकारी/ रा य ह पलाइन मांक १०७५ वर संपक साधा.

This certificate can be verified by scanning the QR code at

http://verify.cowin.gov.in