| District Name | Kurnool |
| Mandal Name | Panyam |
| Panchayat Name | MADDUR |
| VO Name | USHODAYA |
| Application Number | 21229 |
| Policy Holder Name | P SUDDAKAR |
| Father / Husband Name | PULAYA |
| Gender | Male |
| Age | 37 |
| Caste | BC |
| Nominee Name | SUMITRA |
| Nominee Age | 26 |
| Nominee Gender | Female |
| RationCard | WAP133101600167 |
| StreeNo | 00 |
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