E - VACCINATION CERTIFICATE

Ref ID: 20407875163464

Date of Birth: 08-FEB-2024
Name: R aghav Gaik av ad
Gender: Male
ABHA Number: N/ A ABHA Address: N/ A
Guardian Name: Shital Jadhav Guardian ref ID: 52243987605370
Vaccination Date: 23-Apr-2024 Vaccinated At: Sec 36 Sw apnapurti Society ,
R AIGAD, MAHAR ASHTR A
Vaccinated By: R upali Mhatre

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
08/02/2024 / / / / 21/05/2024 / /

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 OPV-1 OPV-2 23/04/2024 OPV-3 / / MR-1 / /

Hep B -
Birth Penta -1 Penta-2 23/04/2024 Penta-3 / / Vit A-1 / /
Dose

PCV-
BCG RVV-1 RVV-2 23/04/2024 RVV-3 / / Booster / /

PCV-1 PCV-2 / / fIPV-3 / /

fIPV-1 fIPV-2 / /

16-24 MONTHS 5-6 YEARS VITAMIN A

Next Vaccination Date Next Vaccination Date
/ / / / 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 / /

Vit A-2 / /

MMR / /

Typhoid / /
In case of any adverse events, kindly contact the nearest Health
Center/ Healthcare Worker/ District immunization Officer