Covid'19 Vaccination Data
Murshidabad Adarsha Mahavidyalaya
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Name of the student *
Student Id/Roll: *
Course *
Semester *
Gender *
Date Of Birth *
MM
/
DD
/
YYYY
Age *
Contact no *
ID Number (AADHAR/EPIC etc) *
Doses Required *
Date of 1st Dose (If 2nd Dose Taken )
MM
/
DD
/
YYYY
Type of Vaccine
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