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Certificate

This document is a certificate of vaccination issued by the Ministry of Health & Family Welfare of India. It provides details of the COVID-19 vaccinations received by Chandhagiri Laxman, a 30-year-old male. He received two doses of the COVISHIELD vaccine in October 2021 and January 2022 and a precaution dose in September 2022. All doses were administered at the Mallapur PHC in Jagtial, Telangana.

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Rajashekar Ch
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16 views

Certificate

This document is a certificate of vaccination issued by the Ministry of Health & Family Welfare of India. It provides details of the COVID-19 vaccinations received by Chandhagiri Laxman, a 30-year-old male. He received two doses of the COVISHIELD vaccine in October 2021 and January 2022 and a precaution dose in September 2022. All doses were administered at the Mallapur PHC in Jagtial, Telangana.

Uploaded by

Rajashekar Ch
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
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Certificate for COVID-19 Vaccination

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


Certificate ID 13497598023

Beneficiary Details
Beneficiary Name / ల Chandhagiri Laxman

Age / వయ 30

Gender / ంగం Male

ID Verified / ఐ ధృ క ంచబ ం Passport # V5178657

Unique Health ID (UHID)


Beneficiary Reference ID 32584347221734
Vaccination Status / ట Fully Vaccinated (2 Doses) and a Precaution Dose

Vaccination Details
Vaccinated By / ం న L Sumalatha

Vaccination At / న Mallapur PHC, Jagtial, Telangana

Dose Number Date of Dose Vaccine Name Batch Number Vaccine Type Manufacturer
సంఖ నంబ రకం త
COVID-19 vaccine, Serum Institute of India Pvt.
1/2 25 Oct 2021 COVISHIELD 4121MF014 non-replicating viral vector Ltd.

COVID-19 vaccine, Serum Institute of India Pvt.


2/2 26 Jan 2022 COVISHIELD 4121MF043 non-replicating viral vector Ltd.

COVID-19 vaccine, Serum Institute of India Pvt.


Precaution dose 09 Sep 2022 COVISHIELD 4122AA005M non-replicating viral vector Ltd.

“ పత ం
Together, India will defeat
COVID-19”
- ప నమం న ంద

In case of any adverse events, kindly contact the nearest Public Health Center/
Healthcare Worker/District Immunization Officer/State Helpline No. 1075
ఏ ప ల సంఘటన జ , దయ స ప ప గ ందం / వర /
ఇ ష ఆ స సంప ంచం / ష ం. 1075

This certificate can be verified by scanning the QR code at


http://verify.cowin.gov.in

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