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Certificate

This document is a COVID-19 vaccination certificate issued in India for Avinash Tatyaram Jambale, confirming he is fully vaccinated with two doses of the COVISHIELD vaccine. The vaccinations were administered on June 26, 2021, and September 27, 2021, at PCMC Sai Umbrella Dispensary in Pune, Maharashtra. The certificate includes details such as the beneficiary's age, gender, and unique health ID, and can be verified online.
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0% found this document useful (0 votes)
6 views1 page

Certificate

This document is a COVID-19 vaccination certificate issued in India for Avinash Tatyaram Jambale, confirming he is fully vaccinated with two doses of the COVISHIELD vaccine. The vaccinations were administered on June 26, 2021, and September 27, 2021, at PCMC Sai Umbrella Dispensary in Pune, Maharashtra. The certificate includes details such as the beneficiary's age, gender, and unique health ID, and can be verified online.
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 22668812715

Beneficiary Details
Beneficiary Name / लाभाथ चे नाव Avinash Tatyaram Jambale

Age / वय 33

Gender / लग Male

ID Verified / ओळखप Aadhaar # XXXXXXXX7071

Unique Health ID (UHID) 41-3843-8864-1317

Beneficiary Reference ID 82404558909410

Vaccination Status / लसीकरण ती Fully Vaccinated (2 Doses)

Vaccination Details
Vaccinated By / यां ा ार लसीकरण Shaila Sable

Vaccination At / लसीकरणाचे ळ PCMC Sai Umbrella Dispensary, Pune, Maharashtra

Dose Number Date of Dose Vaccine Name Batch Number Vaccine Type Manufacturer
डोस मांक डोसची तारीख लसीचे नाव बॅच मांक लस कार उ पादक

COVID-19 vaccine,
1/2 26 Jun 2021 COVISHIELD 4121MC011 non-replicating viral vector Serum Institute of India

COVID-19 vaccine,
2/2 27 Sep 2021 COVISHIELD 4121P216 non-replicating viral vector Serum Institute of India

औषध सु ा आ ण श सु ा
Together, India will defeat
COVID-19”
- पंत धान ी. नर मोदी

In case of any adverse events, kindly contact the nearest Public Health Center/
Healthcare Worker/District Immunization Officer/State Helpline No. 1075
कोणतेही तकूल प रणाम आढळू न आ यास कृपया जवळचे सावज नक आरो य क / आरो यसेवा
कमचारी/ ज हा लसीकरण अ धकारी/ रा य ह पलाइन मांक १०७५ वर संपक साधा.

This certificate can be verified by scanning the QR code at


http://verify.cowin.gov.in

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