| District Name | West Godavari |
| Mandal Name | Kalla |
| Panchayat Name | PALLIPALEM |
| VO Name | PALLIPALEM |
| Application Number | 27367 |
| Policy Holder Name | Meeda Rajeswari |
| Father / Husband Name | Balaraju |
| Gender | Female |
| Age | 21 |
| Caste | BC |
| Nominee Name | Balaraju |
| Nominee Age | 29 |
| Nominee Gender | Male |
| RationCard | Rap053502701917 |
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