| District Name | Krishna |
| Mandal Name | Vijayawada Rural |
| Panchayat Name | NIDAMANURU |
| VO Name | ujala |
| Application Number | 21520 |
| Policy Holder Name | Shaik Fathima |
| Father / Husband Name | Shaik Khaza Mohiddin |
| Gender | Female |
| Age | 31 |
| Caste | Minority |
| Nominee Name | Shaik Ayesha |
| Nominee Age | 18 |
| Nominee Gender | Female |
| RationCard | WAP0616004A0257 |
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