| District Name | Prakasam |
| Mandal Name | Dornala |
| Panchayat Name | PEDDA DORNALA |
| VO Name | VENELAGRAMIKYASANGAM |
| Application Number | 18948 |
| Policy Holder Name | Gummadi Koteswari |
| Father / Husband Name | baburao |
| Gender | Female |
| Age | 36 |
| Caste | SC |
| Nominee Name | baburao |
| Nominee Age | 40 |
| Nominee Gender | Male |
| RationCard | wap080701600169 |
| StreeNo | scpalem |
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