| District Name | Prakasam |
| Mandal Name | Naguluppalapadu |
| Panchayat Name | THIMMASAMUDRAM |
| VO Name | SRISHIRDISAIBABA |
| Application Number | 17767 |
| Policy Holder Name | Madhavi Rachuri |
| Father / Husband Name | Srinivasa Rao |
| Gender | Female |
| Age | 29 |
| Caste | BC |
| Nominee Name | Naveen sai |
| Nominee Age | 18 |
| Nominee Gender | Male |
| RationCard | WAP084504100024 |
| StreeNo | BC COLONY |
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