0% found this document useful (0 votes)
66 views1 page

Provisional Certificate For COVID-19 Vaccination - 1 Dose: Beneficiary Details

This document is a provisional COVID-19 vaccination certificate for Manika Ddebnath indicating that she received the first dose of the Covishield vaccine on May 4, 2021 at the Sonai BPHC(COVISHIELD) center in Cachar, Assam. She is due for her second dose between July 27 and August 24, 2021. The certificate provides her unique health ID and vaccination details and advises contacting local health authorities in case of any adverse events.
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
0% found this document useful (0 votes)
66 views1 page

Provisional Certificate For COVID-19 Vaccination - 1 Dose: Beneficiary Details

This document is a provisional COVID-19 vaccination certificate for Manika Ddebnath indicating that she received the first dose of the Covishield vaccine on May 4, 2021 at the Sonai BPHC(COVISHIELD) center in Cachar, Assam. She is due for her second dose between July 27 and August 24, 2021. The certificate provides her unique health ID and vaccination details and advises contacting local health authorities in case of any adverse events.
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
You are on page 1/ 1

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

You might also like