| District Name | Visakhapatnam |
| Mandal Name | Butchayyapeta |
| Panchayat Name | Chinappannapalem |
| VO Name | CHINAAPPANNAPALEM GRAMA IKHYA SANGHAM |
| Application Number | 4899 |
| Policy Holder Name | CHALLA MANGA |
| Father / Husband Name | SURIBABU |
| Gender | Female |
| Age | 37 |
| Nominee Name | SURIBABU |
| Nominee Age | 50 |
| Nominee Gender | Male |
| RationCard | YAP032002700338 |