Certificate for COVID-19 Vaccination
Issued in India by Ministry of Health & Family Welfare, Govt. of India
Certificate ID 95826833582
Beneficiary Details
Beneficiary Name / িহতািধকাৰীৰ নাম Chinmoyjyoti Deka
Age / বয়স 18
Gender / িলংগ Male
ID Verified / পিৰচয় প সত ািপত Aadhaar # XXXXXXXX9538
Unique Health ID (UHID)
Beneficiary Reference ID 4551660341930
Vaccination Status / কাকৰণৰ ি িত Fully Vaccinated (2 Doses)
Vaccination Details
Vaccinated By / কাকৰণ কিৰেছ Swarnali Duara
Vaccination At / কাকৰণৰ ান Jagi Higher Secondary School45, Morigaon, Assam
Dose Number Date of Dose Vaccine Name Batch Number Vaccine Type Manufacturer
পািল সংখ া পািলৰ তািৰখ ভি নৰ নাম ব সংখ া ভকিচনৰ কাৰ িনমাতা
COVID-19 vaccine,
1/2 02 Jul 2021 COVISHIELD 4121MC015 non-replicating viral vector Serum Institute of India
COVID-19 vaccine, Serum Institute of India Pvt.
2/2 25 Oct 2021 COVISHIELD 4121MC097 non-replicating viral vector Ltd.
“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