| District Name | West Godavari |
| Mandal Name | Kovvur |
| Panchayat Name | DOMMERU |
| VO Name | Chithanya Mactcs |
| Application Number | 26883 |
| Policy Holder Name | SUBBALAKSHMI KODI |
| Father / Husband Name | KODI RAMARAO |
| Gender | Female |
| Age | 48 |
| Nominee Name | KODI VENKATESH |
| Nominee Age | 25 |
| Nominee Gender | Male |
| RationCard | WAP0516040D0378 |
| StreeNo | BUSTAND OPP STREET |
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