| District Name | West Godavari |
| Mandal Name | Kalla |
| Panchayat Name | VEMPADU |
| VO Name | VEMPADU |
| Application Number | 27231 |
| Policy Holder Name | Bugge Susila |
| Father / Husband Name | Yesudasu |
| Gender | Female |
| Age | 33 |
| Caste | SC |
| Nominee Name | Yesudasu |
| Nominee Age | 36 |
| Nominee Gender | Male |
| RationCard | Wap053500100077 |
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