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Beneficiary Details eKYC Details as in Aadhaar

INTEGRATED STATE SCHEMES Name: RAFAT PRAVIN Name: Rafat Perween

Guardian's W/O: Md Aftab Alam

Guardian's Name: HARUN RASID Name:
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Gender: Female Gender: F

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DOB: 01-01-1966
YOB: 1972
Address: dhiru mistri lane
FACE RD CONFIGURATION
State Name: BIHAR Jagdishpur Bhagalpur
Bihar 812002
USER ACTIVITY District:
eKYC Mode OTP
Village/Town:
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Communication Address
District Town Ward
State: BIHAR
BHAGALPUR Bhagalpur M Corp 0015

I hereby declare that the details furnished above are true and correct to the best of my knowledge and belief. In case any of the above
information is found to be false or untrue or misleading or misrepresenting, I am aware that I may be held liable for it.

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6/13/23, 8:26 PM State Beneficiary View

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Beneficiary has been Successfully Applied for Ayushman Card. Reference ID :13102201570780015017800043002

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