| District Name | West Godavari |
| Mandal Name | Kalla |
| Panchayat Name | KALLA |
| VO Name | ADARSAKALLA |
| Application Number | 22883 |
| Policy Holder Name | UNGARALA DURGABHAVANI |
| Father / Husband Name | SURYARAO |
| Gender | Female |
| Age | 31 |
| Caste | BC |
| Nominee Name | PARVATHI |
| Nominee Age | 43 |
| Nominee Gender | Female |
| RationCard | YAP053501200534 |
| StreeNo | KALLA |
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