| District Name | Vizianagaram |
| Mandal Name | Pusapatirega |
| Panchayat Name | CHOWDAVADA |
| VO Name | CHOWDAVADA VGIS |
| Application Number | 17109 |
| Policy Holder Name | mongam lakshmi |
| Father / Husband Name | narayanarao |
| Gender | Female |
| Age | 36 |
| Nominee Name | narayanarao |
| Nominee Age | 32 |
| Nominee Gender | Male |
| RationCard | wap022502000113 |
| StreeNo | oc colony |
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