CERTIFICATE OF VACCINATION

This is to certified that Mrs. Rosesini K.D has been

Immunized as per UNIVERSAL IMMUNIZATION PROGRAMME

IMMUNIZATION RECORD
Name : Mrs. Jinu shaji Sex - Female Age – 31 years
Passport No: R9748137
Date of Birth : 26-05-1993
Age Vaccines Country of Birth:
India
At Birth BCG, OPV.O 26/5/1993
6 Weeks DPT 1 6/7/1993
OPV 1 6/7/1993
10 Weeks DPT 2
OPV 2 14/9/1993
14/9/1993

14 Weeks DPT 3 21/12/1993

OPV 3 21/12/1993
9 months Measles 21/2/1994
15 month MMR 7/1/1995
18 month DPT,OPV 17/12/1995
41/2 Years DT,OPV 19/9/1998
I0 years TT 1/1/2004