E - VACCINATION CERTIFICATE

Ref ID: 19355623901523

Date of Birth: 30-SEP-2022
Name: Gunashe
Gender: F emale
ABHA ID: N/ A
ABHA Address: N/ A
Guardian Name: Pink y
Guardian ref ID: 20344650835376
Vaccination Date: 08-Aug-2023
Vaccinated At: N/ A
Vaccinated By: Usha C houhan Anm

BIRTH 1 ½ MONTHS 2 ½ MONTHS 3 ½ MONTHS 9 MONTHS

Date of Birth Next Vaccination Date Next Vaccination Date Next Vaccination Date Next Vaccination Date
30/09/2022 / / / / / / / /

DATE OF VACCINATION DATE OF VACCINATION DATE OF VACCINATION DATE OF VACCINATION DATE OF VACCINATION
(dd/mm/yyyy): (dd/mm/yyyy): (dd/mm/yyyy): (dd/mm/yyyy): (dd/mm/yyyy):

OPV-0 30/09/2022 OPV-1 11/11/2022 OPV-2 13/12/2022 OPV-3 11/01/2023 MR-1 08/08/2023

Hep B -
Birth 30/09/2022 Penta -1 11/11/2022 Penta-2 13/12/2022 Penta-3 08/08/2023 Vit A-1 08/08/2023
Dose

PCV-
BCG 30/09/2022 RVV-1 11/11/2022 RVV-2 13/12/2022 RVV-3 11/01/2023 08/08/2023
Booster

PCV-1 11/11/2022 PCV-2 11/01/2023 fIPV-3 08/08/2023

fIPV-1 11/11/2022 fIPV-2 11/01/2023

16-24 MONTHS 5-6 YEARS VITAMIN A

Next Vaccination Date Next Vaccination Date
23/01/2024 / / CHILD AGE DATE GIVEN (dd/mm/yyyy) CHILD AGE DATE GIVEN (dd/mm/yyyy)

DATE OF VACCINATION
(dd/mm/yyyy):
DATE OF VACCINATION
(dd/mm/yyyy): Vit A-3 2.0 Years / / Vit A-7 4.0 Years / /
DPT DPT
Booster-
1
/ / Booster-
2
/ / Vit A-4 2.5 Years / / Vit A-8 4.5 Years / /
SIA / OTHERS
Vit A-5 3.0 Years / / Vit A-9 5.0 Years / /
MR-2 / / VACCINE DATE GIVEN
NAME (dd/mm/yyyy)
Vit A-6 3.5 Years / /
OPV -
Booster / /

"Let no child suffer from any vaccine

Vit A-2 / / preventable diseases"
- Shri Narendra Modi,
In case of any adverse events, kindly contact the nearest Health Prime Minister
Center/ Healthcare Worker/ District immunization Officer