| District Name | Srikakulam |
| Mandal Name | Regidiamadalavalasa |
| Panchayat Name | SARASANA PALLE |
| VO Name | Sarasanapalli |
| Application Number | 22343 |
| Policy Holder Name | DASARI KUMARI |
| Father / Husband Name | THRINAD |
| Gender | Female |
| Age | 38 |
| Caste | BC |
| Nominee Name | THRINAD |
| Nominee Age | 40 |
| Nominee Gender | Male |
| RationCard | WAP010304012550 |
| StreeNo | MAIN STREET |
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