| District Name | West Godavari |
| Mandal Name | Kovvur |
| Panchayat Name | DOMMERU |
| VO Name | DOMMERU DEVANAM AREA GRAMASANGHAM |
| Application Number | 27319 |
| Policy Holder Name | VENKATA KRISHNAVENI DUGGIRALA |
| Father / Husband Name | GARAPATI RAMA KOTESWARA RAO |
| Gender | Female |
| Age | 49 |
| Nominee Name | GARAPATI RAMA KOTESWARA RAO |
| Nominee Age | 51 |
| Nominee Gender | Male |
| RationCard | YAP0516040A0285 |
| StreeNo | NEAR HOSPITAL |