Vaccination Details Bene fi ciary Details Bene fi ciary Name Gender Date of Birth ( YYYY - MM - DD ) Passport Number Vaccination Status (# of doses ) Bene fi ciary Reference ID Covid - 19 Vaccination Certi fi cate Issued in India by Ministry of Health & Family Welfare , Govt of India Vaccine Type Manufacturer Vaccine Name Dose # Date of Dose ( YYYY - MM - DD ) Dose Batch # “ Together , India will defeat COVID - 19 ” In case of any adverse events , kindly contact the nearest health centre - Prime Minister Narendra Modi This certi fi cate can be veri fi ed by scanning the QR code at http : // verify cowin gov in Certi fi cate ID This certi fi cate is compliant with WHO - DDCC : VS data dictionary 50961423049 Manisha Masoom 1989-12-05 Female V3243619 Fully Vaccinated (2 Doses) 73507919310690 COVISHIELD COVID-19 vaccine, non-replicating viral vector Serum Institute of India Pvt. Ltd. 1st 2021-05-24 4121Z077 2nd 2021-08-21 4121P152