certificate (6)

Provisional Certificate for COVID-19 Vaccination - 1st Dose Beneficiary Details

Beneficiary Name / ಫ ಾನುಭ ಯ

Madhu

ಸರು

Age / ವಯಸು

23

Gender /

Male

ಂಗ

ID Verified / ಐ. . ಗುರುತು

Aadhaar # XXXXXXXX2020

Unique Health ID (UHID) Beneficiary Reference ID

16275289434911

Vaccination Details

Vaccine Name / ಲ Date of Dose /

ೂೕ

COVISHIELD

ಸರು

07 Jul 2021 (Batch no. 4121MC018)

ಾಂಕ

Next due date / ಮುಂ ನ ಲ

ೕಡುವ

ಾಂಕ

Between 29 Sep 2021 and 27 Oct 2021

Vaccinated by / ಲ

ೕ ದವರು

Kokila

Vaccination at / ಲ

ಾ ದ ಸಳ

PHC THOLAHUNSE Workplace CVC, Davanagere, Karnataka

“ಔಷ /ಲ ೕಕು, ೂ ದೃಢ ೕಕು Together, India will defeat COVID-19” - ಪ ಾನಮಂ

ನ ೕಂದ

ೕ

In case of any adverse events, kindly contact the nearest Public Health Center/ Healthcare Worker/District Immunization Officer/State Helpline No. 1075 ಾವ ೕ ಅಡಪ ಾಮ ಉಂ ಾದ ಸಂದಭ ದ , ದಯ ಟು ಸ ೕಪದ ಾವ ಜ ಕ ಆ ೂೕಗ ೕಂದ /ಆ ೂೕಗ ಶುಷೂ ಾಯ ಕ / ಾ ಲ ಅ ಾ / ಾಜ ಸ ಾಯ ಾ ಸಂ. 1075 ಸಂಪ

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