| District Name | West Godavari |
| Mandal Name | Kovvur |
| Panchayat Name | CHIDIPI |
| VO Name | Chidipi Mactcs |
| Application Number | 26190 |
| Policy Holder Name | SRIDEVI PICHUKALA |
| Father / Husband Name | JUJJAVARAPU SRINIVASU |
| Gender | Female |
| Age | 34 |
| Nominee Name | JUJJAVARAPU MADHURI |
| Nominee Age | 12 |
| Nominee Gender | Female |
| RationCard | WAP051604600302 |
| StreeNo | RAMALAYAM STREET |
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