| District Name | Visakhapatnam |
| Mandal Name | Paravada |
| Panchayat Name | Mutyalammapalem |
| VO Name | MUTYALAMMAPALEM VO III |
| Application Number | 5117 |
| Policy Holder Name | Surada Satyavathi |
| Father / Husband Name | Bangarayya |
| Gender | Female |
| Age | 26 |
| Caste | BC |
| Nominee Name | Bangarayya |
| Nominee Age | 55 |
| Nominee Gender | Male |
| RationCard | WAP0332022A0420 |
| StreeNo | Thikkavanipalem |
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