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Certificate For Covid-19

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Ministry of Health & Family Welfare

Government of India

Certificate for COVID-19 Vaccination


Fully Vaccinated: 2nd Dose

Beneficiary Details
Amarendra Hatibaruah
Beneficiary Name/ fautferatata i
Age/ 62

Gender/ferest Male
AAJPH1974P
ID Verified/ tfa5 q O t u PAN Card #

Unique Health ID (UHID)


4452403858650
Beneficiary Reference ID

Vaccination Details
cOVISHIELD
Vaccine Name/ (efa I
11 May 2021 (Batch no. 4121z061)
Date of 1" Dose/ 8aN stfere otf
05 Aug 2021 (Batch no. 4121MC041)
Date of 2d Dose/foy Ter otfa
Vaccinated by/ BtoTt tare Sewali Baishya

Shankardhar LP School Makum, Tinsukia, Assam


Vaccination at/ blatoer4

Together, India will defeat


COVID-19"

in case of ony adverse events kindly contact the nearest Public tlesth Certed
1075
Healthicare Worker/District immunzation Oficer/Stete Helplirie No.
fürereet afoger ubte ra, rgre afe fretadi anaar e ce/E etfam
BteTeest freu atfars ceent e a 1075

COWIN
Winning Over COVID
Ministry of Health & Family Welfare
Government of India

Certificate for COVID-19 Vaccination Certificat


Fully Vaccinated 2nd Dose Full

Beneficiary Details tails

Beneficiary Name/ fau de AIH


ne/feutfTatan
Subhandra Hatibaruah

Age/ 33 89

Gender/ foies Female

ID Verified/ sfaby q Toffo PAN Card # BPGPB7573H


ID (UHID)
Unique Health ID (UHID)
erence ID
Beneficiary Reference ID 4457033278870

tails
Vaccination Details
Vaccine Name/t3 I cOVAXIN
e/82H tfera oif
Date of 1s Dose/8aN Ste tea 06 May 2021 (Batch no. 37F21035A)

25 Jun 2021 (Batch no. 37121011A)


se/fao ATe
Date of 2nd Dose/fgw STT ofaa
Vaccinated by/ BeTe4 Priti Pegu

Assam / Boteat
Vaccination at / boTD4T4 EN Borpather LPS Hapjan, Tinsukia,

Together, India will defeat Toge


COV
COVID-19

e events, kindly cor


the nearest Public Health Center
In case ofany adverse events, kindly contact istrict Immunization
Healthcare Worker/District Immunization Officer/State Helpline No. 1075

( T T REa 1075

COWIN
Winning Over COVID + D

This certificate can be verified by scanning the QR code at


http://verty.cowin.gov.in

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