Government of Andhra Pradesh

CERTIFICATE FOR PERSON WITH DISABILITY

(Issued under the authority vide G.O.Ms.No.35 HEALTH, MEDICAL AND FAMILY WELFARE (A) DEPARTMENT dt.10.04.2018
)

Medical Board: CHC, Tadipatri

ID No.of Person with Disability: 12100020102000011

Date of Issue: 20/04/2023

This is certified that Shri KADAVA KALLU VEERAYYA, S / o Pedda Chandrayudu, Male , age 46 years, resident of H.No.#1-82,
Chinnayekkaluru Habitation, Chinnayakkaluru Village, Peddapappur Mandal, Anantapur District, is suffering from Permanent disability of
the following category:-
Physical(Locomotor/Orthopaedic) Disability.
The disability is in relation to his : Spine. Impaired reach.
Sub-type of disability :Post Traumatic Sequel-Spine.
Cause of Disability : Disease and Infection.
Permanent. Re-assessment of this case is not recommended.
Percentage of disability in his case is 58% [Fifty Eight percent]. He meets the following physical requirements for discharge of his duties.
F-can perform work by manipulating with fingers,S-can perform work by sitting,ST-can perform work by standing,W-can perform work by
walking,RW-can perform work by reading and writing.
Identification Marks of Person with Disability:-
a)A BLACK MOLE ON LEFT HAND .
b)A BLACK MOLE ON RIGHT CHEST .

Signature Signature Signature

Dr.K.Sudhaker Dr.Singanamala Madhulatha Dr.V.R Rama Lakshmi
MS(Ortho) MBBS,DNB(ANESTHESIA) MBBS,MD,DGO
Civil Surgeon Specialist Civil Assistant Surgeon Chairman, Medical Board
Regn.No : 62103 Regn.No : 86437 Regn.No : 16888
Signature Not Verified

Digitally signed by V
R RAMALAKSHMI
Date: 2023.04.20
10:50:12 IST