Certificate for COVID-19 Vaccination

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

Certificate ID 49121672209

Beneficiary Details
Beneficiary Name Tushar Arun Nivangune

Age 21

Gender Male

ID Verified Aadhaar # XXXXXXXX8517

Unique Health ID (UHID)

Beneficiary Reference ID 21363757381339
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 2021-06-24 2021-12-02

Batch Number 4121MC006 4121MF027

Vaccinated By Sonali badhe

Vaccination At PMC G Prathmik SCHOOL KARVENGR

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