Certificate for COVID-19 Vaccination

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

Certificate ID 12783997873

Beneficiary Details
Beneficiary Name Saurabh Raj

Age 22

Gender Male

ID Verified Aadhaar # XXXXXXXX2475

Unique Health ID (UHID)

Beneficiary Reference ID 36722518872979
Vaccination Status Fully Vaccinated (2 Doses)

Vaccination Details
Vaccine Name COVISHIELD

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

Manufacturer Serum Institute of India Pvt. Ltd.

Dose Number 1/2 2/2

Date of Dose 24 Jun 2021 07 Jan 2022

Batch Number 4121Z101 4121MF037

Vaccinated By Mani Kumari

Vaccination At Sadar Hospital2

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