| District Name | Visakhapatnam |
| Mandal Name | Gudem Kothaveedhi |
| Panchayat Name | Vanchula |
| VO Name | Siri Bala |
| Application Number | 23886 |
| Policy Holder Name | JORANGI SARASWATHI |
| Father / Husband Name | PRASAD RAO |
| Gender | Female |
| Age | 35 |
| Caste | ST |
| Nominee Name | PRASAD RAO |
| Nominee Age | 35 |
| Nominee Gender | Male |
| RationCard | WAP031304100026 |
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