| District Name | West Godavari |
| Mandal Name | Chagallu |
| Panchayat Name | MARKONDAPADU |
| VO Name | Kunkudumelli |
| Application Number | 27430 |
| Policy Holder Name | LAKSHMI NARASAMMA MALLAVARAPU |
| Father / Husband Name | VENKATESWARAO |
| Gender | Female |
| Age | 43 |
| Nominee Name | VENKATESWARAO |
| Nominee Age | 38 |
| Nominee Gender | Male |
| RationCard | WAP051500700287 |
| StreeNo | O C Peta |