| District Name | West Godavari |
| Mandal Name | Penumantra |
| Panchayat Name | MAMUDURU |
| VO Name | Velugu |
| Application Number | 7905 |
| Policy Holder Name | BOKKA LAKSHMIKUMARI |
| Father / Husband Name | KANKARAO |
| Gender | Female |
| Age | 42 |
| Caste | BC |
| Nominee Name | KANAKARAO |
| Nominee Age | 48 |
| Nominee Gender | Male |
| RationCard | WAP053901000195 |
| StreeNo | BOKKA VAARI VEEDHI |
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