| District Name | Srikakulam |
| Mandal Name | Pathapatnam |
| Panchayat Name | KODURU |
| VO Name | Jyothi W.M.A.C.V.S.L |
| Application Number | 23508 |
| Policy Holder Name | chintapalli gouramma |
| Father / Husband Name | ramaswami |
| Gender | Female |
| Age | 28 |
| Caste | ST |
| Nominee Name | ramaswami |
| Nominee Age | 37 |
| Nominee Gender | Male |
| RationCard | pap012555300753 |
| StreeNo | koduru |
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