| VACCINATION RECORD OF( ) | |
| SR.NO. | NAME | GENDER | DOB | CATEGORY | EMPLOYER | EMP. CODE | DESIGNATION | DIVISION | DEPARTMENT | Plant | UTE | STATION | CONTACT NO | VACCINE NAME | 1st DOSE | 1st Vaccination Center | 2nd DOSE | 2nd Vaccination Center | 3rd DOSE | 3rd Vaccination Center | REMARKS |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|