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    Provisional Certificate For COVID-19 Vaccination - 1 Dose: Beneficiary Details

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    Arun Mmohanty
    This document is a provisional COVID-19 vaccination certificate for Arun Kumar Mohanty, who received the COVAXIN vaccine on June 12, 2021. It provides details such as his name, age, gender, identification verification, vaccine name and batch number, date of the next due dose, name of the vaccinator, and location of vaccination. The certificate encourages working together to defeat COVID-19 and provides contact information in case of any adverse events.

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    Provisional Certificate For COVID-19 Vaccination - 1 Dose: Beneficiary Details

    Uploaded by

    Arun Mmohanty
    25 views1 page
    This document is a provisional COVID-19 vaccination certificate for Arun Kumar Mohanty, who received the COVAXIN vaccine on June 12, 2021. It provides details such as his name, age, gender, identification verification, vaccine name and batch number, date of the next due dose, name of the vaccinator, and location of vaccination. The certificate encourages working together to defeat COVID-19 and provides contact information in case of any adverse events.

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    This document is a provisional COVID-19 vaccination certificate for Arun Kumar Mohanty, who received the COVAXIN vaccine on June 12, 2021. It provides details such as his name, age, gender, identification verification, vaccine name and batch number, date of the next due dose, name of the vaccinator, and location of vaccination. The certificate encourages working together to defeat COVID-19 and provides contact information in case of any adverse events.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    25 views1 page

    Provisional Certificate For COVID-19 Vaccination - 1 Dose: Beneficiary Details

    Uploaded by

    Arun Mmohanty
    This document is a provisional COVID-19 vaccination certificate for Arun Kumar Mohanty, who received the COVAXIN vaccine on June 12, 2021. It provides details such as his name, age, gender, identification verification, vaccine name and batch number, date of the next due dose, name of the vaccinator, and location of vaccination. The certificate encourages working together to defeat COVID-19 and provides contact information in case of any adverse events.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 1

    Provisional Certificate for COVID-19 Vaccination - 1st Dose

    Beneficiary Details

    Beneficiary Name / ଲାଭାଥୀ ର ନାମ Arun Kumar MohantY

    Age / ବୟସ 36

    Gender / ଲ Male

    ID Verified / ଆଇଡି ସତ ାପିତ େହାଇଛି Passport # K4990334

    Unique Health ID (UHID)


    Beneficiary Reference ID 65381028933320

    Vaccination Details

    Vaccine Name / ଟିକା ନାମ COVAXIN

    Date of Dose / ଟୀକାକରଣ ତାରୀଖ 12 Jun 2021 (Batch no. 37F21033A)

    Next due date / ପରବ ୀ ଟୀକାକରଣ ତାରିଖ Between 10 Jul 2021 and 24 Jul 2021

    Vaccinated by / ଟିକା େଦଉଥବା ବ କି ନାମ Sarojini Panda

    Vaccination at / ଟୀକାକରଣ ସାନ Symphony Mall Rudrapur, Khurda, Odisha

    “ଔଷଧ ମ ଏବଂ କେଠାରତା ମ


    Together, India will defeat
    COVID-19”
    - ପଧାନମନୀ ନେର େମାଦି

    In case of any adverse events, kindly contact the nearest Public Health Center/
    Healthcare Worker/District Immunization Officer/State Helpline No. 1075
    େକୗଣସି ପକାର ପତିକୂଳ ଘଟଣା ଘଟିେଲ ଦୟାକରି ନିକଟସ ଜନସାସ େକ / ସାସ େସବା କମୀ / ଜିଲା
    ଟୀକାକରଣ ଅଫସର / ରାଜ େହଲଲାଇନ ନମର 1075 ସହିତ େଯାଗାେଯାଗ କର

    This is a secure QR code. For further details, please visit


    https://verify.cowin.gov.in

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