| District Name | East Godavari |
| Mandal Name | Kakinada (Rural) |
| Panchayat Name | SURYARAO PETA |
| VO Name | Parrakaluva |
| Application Number | 30724 |
| Policy Holder Name | Kumari Koppisetti |
| Father / Husband Name | koppisetti nukaraju |
| Gender | Female |
| Age | 20 |
| Caste | BC |
| Nominee Name | Koppisetti nukaraju |
| Nominee Age | 48 |
| Nominee Gender | Male |
| RationCard | wap0423024a0006 |
| StreeNo | bc colany |
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