Certificate for COVID-19 Vaccination
Issued in India by Ministry of Health & Family Welfare, Govt. of India
Certificate ID 14136770907
Beneficiary Details
Beneficiary Name / ల S T P Kanchan Tarun
Age / వయ 24
Gender / ంగం Male
ID Verified / ఐ ధృ క ంచబ ం PAN Card # JATPS7433B
Unique Health ID (UHID)
Beneficiary Reference ID 23321362971990
Vaccination Status / ట Fully Vaccinated (2 Doses)
Vaccination Details
Vaccine Name / COVISHIELD
Vaccine Type / రకం COVID-19 vaccine, non-replicating viral vector
Manufacturer / త Serum Institute of India
Dose Number / సంఖ 1/2 2/2
Date of Dose / 12 Jun 2021 20 Sep 2021
Batch Number / నంబ 4121Z086 4121MF001
Vaccinated By / ం న G Suvarnakumari
Vaccination At / న Simhachalam RHC CVC, Visakhapatnam,
Andhra Pradesh
“ 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