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

This document is a provisional COVID-19 vaccination certificate for Kamal Chandar Pawar (48, female) indicating that she received the 1st dose of the COVISHIELD vaccine on 19 Apr 2021 from Susan John at AFS Lohegaon in Pune, Maharashtra. Her next due date for the 2nd dose is between 17 May 2021 and 14 Jun 2021. It provides contact information for reporting any adverse events.

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Manoj
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439 views1 page

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

This document is a provisional COVID-19 vaccination certificate for Kamal Chandar Pawar (48, female) indicating that she received the 1st dose of the COVISHIELD vaccine on 19 Apr 2021 from Susan John at AFS Lohegaon in Pune, Maharashtra. Her next due date for the 2nd dose is between 17 May 2021 and 14 Jun 2021. It provides contact information for reporting any adverse events.

Uploaded by

Manoj
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

Provisional Certificate for COVID-19 Vaccination - 1st Dose

Beneficiary Details

Beneficiary Name / लाभाथ चे नाव Kamal Chandar Pawar

Age / वय 48

Gender / लग Female

ID Verified / ओळखप Aadhaar # XXXXXXXX5142

Unique Health ID (UHID)


Beneficiary Reference ID 21363861284545

Vaccination Details

Vaccine Name / लसीचे नाव COVISHIELD

Date of Dose / डोसची तारीख 19 Apr 2021 (Batch no. 4121Z003)

Next due date / पुढील दय तारीख Between 17 May 2021 and 14 Jun 2021

Vaccinated by / यां ा ार लसीकरण Susan John

Vaccination at / लसीकरणाचे ळ AFS Lohegaon, Pune, Maharashtra

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.

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