Provisional Certificate for COVID-19 Vaccination - 1st Dose
Beneficiary Details
Beneficiary Name / িহতািধকাৰীৰ নাম Manika Ddebnath
Age / বয়স 45
Gender / িলংগ Female
ID Verified / পিৰচয় প সত ািপত Aadhaar # XXXXXXXX8576
Unique Health ID (UHID)
Beneficiary Reference ID 11997581617630
Vaccination Details
Vaccine Name / ভি নৰ নাম COVISHIELD
Date of 1st Dose / থম পািলৰ তািৰখ 04 May 2021 (Batch no. 4121z051)
Next due date / পৰৱতী িনয়ত তািৰখ Between 27 Jul 2021 and 24 Aug 2021
Vaccinated by / কাকৰণ কিৰেছ AJOB NEHAR LASKAR
Vaccination at / কাকৰণৰ ান Sonai BPHC(COVISHIELD), Cachar, Assam
“ঔষধৰ লগেত কেঠাৰতাও
Together, India will defeat
COVID-19”
- ধান ম ী নেৰ মাডী
In case of any adverse events, kindly contact the nearest Public Health Center/
Healthcare Worker/District Immunization Officer/State Helpline No. 1075
িযেকােনা িতকল ঘটনাৰ ত, অনু হ কিৰ িনকটৱতী ৰাজ ৱা া ক / া কমী/িজলা
কাকৰণ িবষয়া/ ৰািজ ক হ লাই ন ৰ 1075 ত যাগােযাগ কৰক।
This certificate can be verified by scanning the QR code at
http://verify.cowin.gov.in