C.No./ /2012 dt24/01/2012 Tahsildars Office Srikalahasti.

Tahsildar Enquiry Report under RAJIV AROGHYASREE SCHEME in respect of

SRIKALAHASTI Mandal 1.Name of the Mandal 2.Beneficiary Name & Address ::SRIKALAHASTI :: S.Surya Prakash Reddy S/o Gopal Reddy Kapugunneri Village Srikalahasti Mandal 3. Caste 4. Nature of Disease 5. Whether the applicant belongs to Below Poverty Line 6. Reasons for not having White ::Theapplicantis having is having White Card Ration card bearing Wap101407800150.The applicant daughter inlaw Is not born at the time of issue of RationCard and Aroghyasree Card also. :: OC :: Eye Problem :: Yes

OR Reasons for not having Photo in ::The applicant daughter in-law is notWhite card / Aroghyasree card held available inRationcard .At the time of issuedRation cared The applicant daughter in-lawIs not born 7. Details of Family members Name S.Munemma S.Surya Prakash Reddy s.Uma S.Pujitha Relation Holder Self 45 Son 6 Daughter-in-law 6 Grand -Daughter 8 2 3 ship with Card ge A

S.Jasmitha S.Pravalika 8. Whether Tahsildar conducted

Grand- Daughter Grand- Daughter

5 4

:: Yes, Tahsildar Srikalahasti conducted personalpersonal enquiry if so furnishenquiry in the matter.The applicant Daughter-in-law suffering with Eye problem which requires immediate treatment

9. Recommendation of Tahsildar

::

Recommended Treatment in the Notified

Hospital under Aroghyasree Programme.

Tahsildar, Srikalahasti,Chittoor.