| District Name | Vizianagaram |
| Mandal Name | Pusapatirega |
| Panchayat Name | PASUPAM |
| VO Name | PASUPAM |
| Application Number | 17097 |
| Policy Holder Name | valli lakshmi |
| Father / Husband Name | venkataramana |
| Gender | Female |
| Age | 25 |
| Caste | BC |
| Nominee Name | venkataramana |
| Nominee Age | 35 |
| Nominee Gender | Male |
| RationCard | rap022503400001 |
| StreeNo | bc colony |
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