| District Name | Krishna |
| Mandal Name | Vijayawada Rural |
| Panchayat Name | PATHAPADU |
| VO Name | VIJAYA VO |
| Application Number | 21434 |
| Policy Holder Name | Shaik Sulthana |
| Father / Husband Name | Shaik Karimulla |
| Gender | Female |
| Age | 24 |
| Caste | Minority |
| Nominee Name | Shaik Karimulla |
| Nominee Age | 35 |
| Nominee Gender | Male |
| RationCard | WAP061603000071 |
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