| District Name | Visakhapatnam |
| Mandal Name | Pendurthi |
| Panchayat Name | JANGALAPALEM |
| VO Name | SRI RAMA |
| Application Number | 6608 |
| Policy Holder Name | Lakkoji Janshi |
| Father / Husband Name | Rambabu |
| Gender | Female |
| Age | 28 |
| Caste | BC |
| Nominee Name | Adityasthrnidi |
| Nominee Age | 7 |
| Nominee Gender | Male |
| RationCard | WAP032400900250 |
| StreeNo | Jangalapalem |
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