Certificate for COVID-19 Vaccination

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

Certificate ID 75060734368

Beneficiary Details
Beneficiary Name Sumith V S

Age 33

Gender Male

ID Verified Aadhaar # XXXXXXXX3980

Unique Health ID (UHID) 65-7624-3624-0318

Beneficiary Reference ID 52277837326840

Vaccination Status Fully Vaccinated (2 Doses)

Vaccination Details
Vaccinated By Sunantha K P

Vaccination At Kandanassery PHC

Dose Number Date of Dose Vaccine Name Batch Number Vaccine Type Manufacturer

COVID-19 vaccine,
1/2 16 Sep 2021 COVISHIELD 4121MC084 non-replicating viral vector Serum Institute of India

COVID-19 vaccine, Serum Institute of India Pvt.

2/2 30 Dec 2021 COVISHIELD 4121MF043 non-replicating viral vector Ltd.

Together, India will defeat

COVID-19”
- Prime Minister Narendra Modi

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

This certificate can be verified by scanning the QR code at

http://verify.cowin.gov.in