Certificate for COVID-19 Vaccination

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

Certificate ID 89821281309

Beneficiary Details
Beneficiary Name / ଲାଭାଥୀ ର ନାମ An

Age / ବୟସ 19

Gender / ଲ Male

ID Verified / ଆଇଡି ସତ ାପିତ େହାଇଛି Aadhaar # XXXXXXXX9136

Unique Health ID (UHID)
Beneficiary Reference ID 57316358065620
Vaccination Status / ଟୀକାକରଣ ସିତି Partially Vaccinated (1 Dose)

Vaccination Details
Vaccinated By / ଟିକା େଦଉଥବା ବ କି ନାମ SAROJINI MOHAPATRA

Vaccination At / ଟୀକାକରଣ ସାନ Kujanga CHC (A), Jagatsinghpur, Odisha

Next Dose Due / ପରବ ୀ ଟୀକାକରଣ ତାରିଖ Between 14 Feb 2022 and 28 Feb 2022

Dose Number Date of Dose Vaccine Name Batch Number Vaccine Type Manufacturer
େଖାରାକ ନମର ଟୀକାକରଣ ତାରୀଖ ଟିକା ନାମ େବଚ ନମର ଟିକା ପକାର ନିମାତା

COVID-19 vaccine,
1/2 17 Jan 2022 COVAXIN 37G21048A inactivated virus Bharat Biotech, India

“ଔଷଧ ମ ଏବଂ କେଠାରତା ମ

Together, India will defeat
COVID-19”
- ପଧାନମନୀ ନେର େମାଦି

In case of any adverse events, kindly contact the nearest Public Health Center/
Healthcare Worker/District Immunization Officer/State Helpline No. 1075
େକୗଣସି ପକାର ପତିକୂଳ ଘଟଣା ଘଟିେଲ ଦୟାକରି ନିକଟସ ଜନସାସ େକ / ସାସ େସବା କମୀ / ଜିଲା
ଟୀକାକରଣ ଅଫସର / ରାଜ େହଲଲାଇନ ନମର 1075 ସହିତ େଯାଗାେଯାଗ କର

This certificate can be verified by scanning the QR code at

http://verify.cowin.gov.in