| District Name | West Godavari |
| Mandal Name | Kovvur |
| Panchayat Name | PASIVEDALA |
| VO Name | Adarsha Mactcs |
| Application Number | 27034 |
| Policy Holder Name | SHARON PUSHPAVATHI SHAIK |
| Father / Husband Name | SHAIK ANKU SAHEB |
| Gender | Female |
| Age | 48 |
| Caste | BC |
| Nominee Name | SHAIK BEEIAN BEBI |
| Nominee Age | 77 |
| Nominee Gender | Female |
| RationCard | YAP051603100146 |
| StreeNo | HIGH SCHOOL STREET |
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