| District Name | Prakasam |
| Mandal Name | Naguluppalapadu |
| Panchayat Name | THIMMASAMUDRAM |
| VO Name | POOLE |
| Application Number | 17768 |
| Policy Holder Name | Rama Gudisa |
| Father / Husband Name | Krishna |
| Gender | Female |
| Age | 27 |
| Caste | BC |
| Nominee Name | Krishna |
| Nominee Age | 36 |
| Nominee Gender | Male |
| RationCard | WAP084503800077 |
| StreeNo | BC COLONY |
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