| District Name | Prakasam |
| Mandal Name | Naguluppalapadu |
| Panchayat Name | THIMMASAMUDRAM |
| VO Name | Ambetkar |
| Application Number | 17972 |
| Policy Holder Name | Parimala suhasini Devathoti |
| Father / Husband Name | Koteswarao |
| Gender | Female |
| Age | 33 |
| Caste | SC |
| Nominee Name | Koteswarao |
| Nominee Age | 27 |
| Nominee Gender | Male |
| RationCard | WAP084503700051 |