| District Name | Vizianagaram |
| Mandal Name | Pusapatirega |
| Panchayat Name | KOPERLLA |
| VO Name | PATHA KOPPERLA VGIS |
| Application Number | 17088 |
| Policy Holder Name | vallamsetti durga |
| Father / Husband Name | govinda |
| Gender | Female |
| Age | 29 |
| Nominee Name | govinda |
| Nominee Age | 28 |
| Nominee Gender | Male |
| RationCard | wap022503000420 |
| StreeNo | oc colony |
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