Certificate for COVID-19 Vaccination

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

India
Certi ficate ID 31458769961

Beneficiary Details
RAJ DEV KUMAR
B ene fi ciary N ame
18
Age
male
Gender
Aadhaar # XXXXXXXX4369
ID Verifi ed / Unique Health
32-1747-1242-7017
ID (UHID)
Bene fi ciary Reference ID 5951505001230

Vacc ination Status Fully Vaccinated (2nd Dose)

Vaccination Details
Sintoo Kumari
Vacc inated B y
Bihiya RBSK Team, Bihiya, Bihar Between
Vacc ination A t
19 Oct 2021 and 16 Nov 2021
N ext D ose Due
Dose Number Date of Dose Vaccine Name Batch Number Vaccine Type Manufacturer

½ 27 Jul 2021 COVISHIELD 4121MC036 COVID-19 vaccine, Serum Institute of India

2/2 19 oct 2021 COVISHIELD 4231KBR45 non-replicating viral vector

“ दवाई भी और कड़ाई भी।

Together, India will defeat
COVID-19”
- नरेंद्र मोदी

In case of any adverse events, kindly contact the nearest Public Health
Center / Healthcare Worker/District Immunization O ffi cer / State Helpline No .
1075

This certificate can be veri fi ed by scanning the QR code

at
http://verify.cowin.gov.in