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