| District Name | East Godavari |
| Mandal Name | Kakinada (Rural) |
| Panchayat Name | TOORANGI |
| VO Name | nookalamma |
| Application Number | 28221 |
| Policy Holder Name | Krishnam Raju Surimilli |
| Father / Husband Name | Mulaswamy |
| Gender | Male |
| Age | 25 |
| Caste | BC |
| Nominee Name | Surimilli Eeshwaramma |
| Nominee Age | 57 |
| Nominee Gender | Female |
| RationCard | Yap0423009A0461 |
| StreeNo | Pagadalapeta |
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