| District Name | Krishna |
| Mandal Name | Vijayawada Rural |
| Panchayat Name | PATHAPADU |
| VO Name | chaitanyavo |
| Application Number | 21404 |
| Policy Holder Name | Pothireddy Sudharani |
| Father / Husband Name | Pothireddy Venkateswara Reddy |
| Gender | Female |
| Age | 36 |
| Nominee Name | P Bhavani Jaswanth Reddy |
| Nominee Age | 12 |
| Nominee Gender | Male |
| RationCard | PAP061603000063 |
| StreeNo | Sitharampuram |