| District Name | West Godavari |
| Mandal Name | Penumantra |
| Panchayat Name | MAMUDURU |
| VO Name | Mamuduru |
| Application Number | 6716 |
| Policy Holder Name | UNDRAJAVARAPU ESTERU RANI |
| Father / Husband Name | ANANDARAO |
| Gender | Female |
| Age | 36 |
| Caste | SC |
| Nominee Name | ANANDARAO |
| Nominee Age | 42 |
| Nominee Gender | Male |
| RationCard | WAP053900900235 |
| StreeNo | S.C.PETA |