Certificate for COVID-19 Vaccination

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

Certificate ID 14879073497

Beneficiary Details
Beneficiary Name / ଲାଭାଥୀ ର ନାମ Saismita Sahu

Age / ବୟସ 18

Gender / ଲ Female

ID Verified / ଆଇଡି ସତ ାପିତ େହାଇଛି Aadhaar # XXXXXXXX4228

Unique Health ID (UHID)

Beneficiary Reference ID 26472242275547

Vaccination Status / ଟୀକାକରଣ ସିତି Fully Vaccinated (2 Doses)

Vaccination Details
Vaccinated By / ଟିକା େଦଉଥବା ବ କି ନାମ Anjali Pradhan

Vaccination At / ଟୀକାକରଣ ସାନ Kalapani PHC (15-18), Bargarh, Odisha

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 09 Feb 2022 COVAXIN 37G21108A inactivated virus Bharat Biotech, India

COVID-19 vaccine,
2/2 09 Mar 2022 COVAXIN C1021010 inactivated virus Bharat Biotech, India

“ଔଷଧ ମ ଏବଂ କେଠାରତା ମ

Together, India will defeat
COVID-19”
- ପଧାନମନୀ

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