Department of Empowerment of Persons with Disabilities,

Ministry of Social Justice and Empowerment, Government of India

Doctor's Diagnosis Sheet

(Date : 05/12/2023 )

(A) UDID No. : AP1770620161997054 Applicant Full Name : Dhulipalla Vidhata Sai
Date of Birth : 13/12/2016
Gender : Male Address : 11-945/88 Gorantla Guntur ,

(B)

(C) Medical Board Recommendation:

Disability percentage : 61 Disability Condition : Nature of Disability :

Remarks :

Goverment General Hospital, Guntur

Guntur, Andhra Pradesh

This Card/Certificate is meant to certify the disability of the person and is not an instrument for ID/Address Proof for any purpose.