| District Name | Krishna |
| Mandal Name | Vijayawada Rural |
| Panchayat Name | GUDAVALLI |
| VO Name | SRI KALA |
| Application Number | 21098 |
| Policy Holder Name | Kancharla Sridevi |
| Father / Husband Name | Kancharla Venkateswara Rao |
| Gender | Female |
| Age | 37 |
| Caste | BC |
| Nominee Name | K Venkateswara Rao |
| Nominee Age | 42 |
| Nominee Gender | Male |
| RationCard | WAP061600500463 |
| StreeNo | Ramanagar |