| District Name | Visakhapatnam |
| Mandal Name | Ravikamatham |
| Panchayat Name | Medivada |
| VO Name | MEDIVADA GRAMA PEDALA IKHYA SANGHAM |
| Application Number | 4633 |
| Policy Holder Name | KESAMSETTI SATYAVATHI |
| Father / Husband Name | SATTIBABU |
| Gender | Female |
| Age | 31 |
| Nominee Name | SATTIBABU |
| Nominee Age | 29 |
| Nominee Gender | Male |
| RationCard | WA031903500160 |
| StreeNo | MAIN ROAD |