| District Name | Srikakulam |
| Mandal Name | LaxmiNarsuPeta |
| Panchayat Name | L.N.PETA |
| VO Name | L .N.Peta |
| Application Number | 10621 |
| Policy Holder Name | Suseela Esarla |
| Father / Husband Name | Late Appalanaidu |
| Gender | Female |
| Age | 36 |
| Caste | BC |
| Nominee Name | Bhavani |
| Nominee Age | 10 |
| Nominee Gender | Female |
| RationCard | Wap013800100188 |
| StreeNo | Meesala Veedhi |
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