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Sl. NO. Name of
beneficiary
Complete
Address
Age Sex Inocme Type
of Aid
Given
Date on which
given
Total cost of
aid including
fabri-cation/
fitment
charges
Subsidy
provided
Tavel
cost
paid to
out-
station
bene-
ficiary
Boarding
and
lodging
expenses
paid
Whether any surgical
correction under-
taken
Total
10+11+1
2+13
No. of
days for
which
stayed
Whether
accom-
panied by
escort
Ration Card
No./ Voter ID
No./ Aadhar
Card No.
Photo of bene-ficiary
Yes/No
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
1DAKHYA
KUMAR
AT -
BARBIL,DIST
- KEONJHAR
2 M M BPL - 03-10-2016 10000 100% 0 0 SERIAL CASTING 10000 NILL -
ADHAAR NO -
2303 6552
1657
2BIKASH
MOHANTY
AT -
BARBIL,DIST
- KEONJHAR
4 M M BPL - 03-10-2016 10000 100% 0 0 SERIAL CASTING 10000 NILL -
ADHAAR NO -
9328 6940
7833
3SWATI
PRADHAN
AT -
KHAIRMAL,
DIST -
BOUDH
6 M F BPL - 03-10-2016 10000 100% 0 0 SERIAL CASTING 10000 NILL -
ADHAAR NO -
6268 3400
0713
4AYUSHMAN
MOHANTY
AYUSHMAN
MOHANTY1.5 M M BPL - 03-10-2016 10000 100% 0 0 SERIAL POP CAST 10000 NILL -
SWAMI VIVEKANAND NATIONAL INSTITUTE OF REHABILITATION TRAINING AND RESEARCHDepartment of Empowerment of Persons with Disabilities, Ministry of Social Justice and Empowerment, Govt. of India
At- Olatpur , P.O- Bairoi , Dist- Cuttack (Odisha ), PIN - 754010
MINOR OT OPERATION REGISTER
PATIENT RECORD FOR THE MONTH OF OCTOBER-2016 IN MINOR OT
Page 1 of 34
Sl. NO. Name of
beneficiary
Complete
Address
Age Sex Inocme Type
of Aid
Given
Date on which
given
Total cost of
aid including
fabri-cation/
fitment
charges
Subsidy
provided
Tavel
cost
paid to
out-
station
bene-
ficiary
Boarding
and
lodging
expenses
paid
Whether any surgical
correction under-
taken
Total
10+11+1
2+13
No. of
days for
which
stayed
Whether
accom-
panied by
escort
Ration Card
No./ Voter ID
No./ Aadhar
Card No.
Photo of bene-ficiary
Yes/No
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
5NIRANJAN
GHADEI
AT/PO -
BOULA
BANDHA,DI
ST -
KHURDA
24 D M BPL - 03-10-2016 10000 100% 0 0 SERIAL POP CAST 10000 NILL -
ADHAAR NO -
3101 9273
6210
6ANSUMAN
PATEL
AT -
RAIDHI,DIST
-
SUNDERGA
RH
3 M M BPL - 04-10-2016 10000 100% 0 0 SERIAL CASTING 10000 NILL -
ADHAAR NO -
9552 5025
7978
7BHAKTA
RANJAN
BEHERA
AT -
BALIPATAN
A,DIST -
KHURDA
31 M BPL - 04-10-2016 10000 100% 0 0 FIG 8 BANDAGE 10000 NILL -
ADHAAR NO -
4707 4993
2754
8 SIPAN NAYAK
AT -
CHAMPUA,
DIST -
KEONJHAR
6 M M BPL - 04-10-2016 10000 100% 0 0 SERIAL CASTING 10000 NILL -
ADHAAR NO -
7569 6069
5318
9MANORANJA
N NAYAK
AT/PO -
KUNDALA,D
IST - JAJPUR
5 M M BPL - 04-10-2016 10000 100% 0 0 SERIAL CASTING 10000 NILL -
ADHAAR NO -
3615 9919
0543
Page 2 of 34
Sl. NO. Name of
beneficiary
Complete
Address
Age Sex Inocme Type
of Aid
Given
Date on which
given
Total cost of
aid including
fabri-cation/
fitment
charges
Subsidy
provided
Tavel
cost
paid to
out-
station
bene-
ficiary
Boarding
and
lodging
expenses
paid
Whether any surgical
correction under-
taken
Total
10+11+1
2+13
No. of
days for
which
stayed
Whether
accom-
panied by
escort
Ration Card
No./ Voter ID
No./ Aadhar
Card No.
Photo of bene-ficiary
Yes/No
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
10B/O - RIT
AROUT
AT -
TIGIRIA,DIS
T -
CUTTACK
5 M M BPL - 04-10-2016 10000 100% 0 0 SERIAL CASTING 10000 NILL -
ADHAAR NO -
5215 8274
7264
11SRUSTILATA
BEHERA
AT -
KHAIRA,DIS
T -
BALESORE
6 M F BPL - 04-10-2016 10000 100% 0 0 SERIAL CASTING 10000 NILL -
ADHAAR NO -
6322 2498
7676
12 HIMANSU DASDIST -
BALESORE2 M F BPL - 04-10-2016 10000 100% 0 0 SERIAL CASTING 10000 NILL -
ADHAAR NO -
9503 5335
1756
13SUSANTA
TRIPATHY
AT/PO -
BALIANTA,D
IST -
KHURDA
38 M BPL - 04-10-2016 10000 100% 0 0 FIG 8 BANDAGE 10000 NILL -
14PRABINA
SWAIN
PRABINA
SWAIN1 M M BPL - 04-10-2016 10000 100% 0 0 SERIAL CASTING 10000 NILL -
ADHAAR NO -
8127 2699
7492
Page 3 of 34
Sl. NO. Name of
beneficiary
Complete
Address
Age Sex Inocme Type
of Aid
Given
Date on which
given
Total cost of
aid including
fabri-cation/
fitment
charges
Subsidy
provided
Tavel
cost
paid to
out-
station
bene-
ficiary
Boarding
and
lodging
expenses
paid
Whether any surgical
correction under-
taken
Total
10+11+1
2+13
No. of
days for
which
stayed
Whether
accom-
panied by
escort
Ration Card
No./ Voter ID
No./ Aadhar
Card No.
Photo of bene-ficiary
Yes/No
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
15SUNANYA
SAHOO
AT -
KABISURYA
NAGAR,DIS
T - GANJAM
60 F BPL - 04-10-2016 10000 100% 0 0 SERIAL CASTING 10000 NILL -VOTER ID -
FVIP35588A
16SURESH
BEHERA
AT/PO -
MAHUKHA
NDI,DIST -
KHURDA
42 M BPL - 05-10-2016 10000 100% 0 0 A.K POP CAST 10000 NILL -
ADHAAR NO -
4826 9571
8098
17 MILAN JENA
DIST -
MEDINAPU
R,STATE -
WEST
BENGAL
2 M BPL - 05-10-2016 10000 100% 0 0 SERIAL CASTING 10000 NILL -
ADHAAR NO -
7463 6391
2915
18AMIYA
MUDULI
AT -
KENPUR,DIS
T -
CUTTACK
18 M BPL - 05-10-2016 10000 100% 0 0 FIG 8 BANDAGE 10000 NILL -
ADHAAR NO -
9260 2247
7766
19B/O -
JAGYASINI
ROUTRAY
AT -
BHUBANES
WAR,DIST -
KHURDA
2 M M BPL - 05-10-2016 10000 100% 0 0 SERIAL CASTING 10000 NILL -
ADHAAR NO -
6516 0828
0060
Page 4 of 34
Sl. NO. Name of
beneficiary
Complete
Address
Age Sex Inocme Type
of Aid
Given
Date on which
given
Total cost of
aid including
fabri-cation/
fitment
charges
Subsidy
provided
Tavel
cost
paid to
out-
station
bene-
ficiary
Boarding
and
lodging
expenses
paid
Whether any surgical
correction under-
taken
Total
10+11+1
2+13
No. of
days for
which
stayed
Whether
accom-
panied by
escort
Ration Card
No./ Voter ID
No./ Aadhar
Card No.
Photo of bene-ficiary
Yes/No
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
20CHUKU
MARANDI
AT -
BADAMPAD
A,,DIST -
MAYURBHA
NJ
1 M BPL - 05-10-2016 10000 100% 0 0 SERIAL CASTING 10000 NILL -
21TRISH
APRADHAN
AT -
BELEPADA,
DIST -
KHURDA
28 F BPL - 05-10-2016 10000 100% 0 0TENOTONY & RE
CAST10000 NILL -
VOTERID -
SIVO622290
22B/O - PRATIV
ASAHOO
AT -
BOINDA,DIS
T - ANUGUL
1 M M BPL - 05-10-2016 10000 100% 0 0 SERIAL CASTING 10000 NILL -VOTER ID -
S2CO248484
23BISHNU PRIY
ATRIPATHY
BISHNU
PRIY
ATRIPATHY
44 F BPL - 05-10-2016 10000 100% 0 0 A.E POP CAST 10000 NILL -
24ALEKHA
PRADHAN
ALEKHA
PRADHAN50 M BPL - 05-10-2016 10000 100% 0 0
REMOVED AND
PTB POP CAST10000 NILL -
Page 5 of 34
Sl. NO. Name of
beneficiary
Complete
Address
Age Sex Inocme Type
of Aid
Given
Date on which
given
Total cost of
aid including
fabri-cation/
fitment
charges
Subsidy
provided
Tavel
cost
paid to
out-
station
bene-
ficiary
Boarding
and
lodging
expenses
paid
Whether any surgical
correction under-
taken
Total
10+11+1
2+13
No. of
days for
which
stayed
Whether
accom-
panied by
escort
Ration Card
No./ Voter ID
No./ Aadhar
Card No.
Photo of bene-ficiary
Yes/No
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
25SIBASHIS
PANIGRAHI
CAT -
CHATRAPU
R,DIST -
GANJAM
1 M BPL - 06-10-2016 10000 100% 0 0TENOTONY &
SERIAL CASTING10000 NILL -
ADHAAR NO -
3330 1749
4591
26 ABUL BADAN
AT -
GOPA,DIST -
PURI
15 M BPL - 06-10-2016 10000 100% 0 0 SERIAL CASTING 10000 NILL -
ADHAAR NO -
8487 9048
4942
27 RABI SANKAR
DIST -
KENDRAPA
DA
21 M BPL - 06-10-2016 10000 100% 0 0 SERIAL CASTING 10000 NILL -
28ARPITA
PRIYADARSINI
AT/PO -
HARIANKA,
DIST -
KENDRAPA
DA
2 M F BPL - 06-10-2016 10000 100% 0 0 SERIAL CASTING 10000 NILL -
ADHAAR NO -
2444 5755
7640
29B/O -
PRATIMA
DEHURY
AT -
PATELI,DIST
- ANUGUL
1 M F BPL - 06-10-2016 10000 100% 0 0 SERIAL CASTING 10000 NILL -
ADHAAR NO -
9563 0928
5840
Page 6 of 34
Sl. NO. Name of
beneficiary
Complete
Address
Age Sex Inocme Type
of Aid
Given
Date on which
given
Total cost of
aid including
fabri-cation/
fitment
charges
Subsidy
provided
Tavel
cost
paid to
out-
station
bene-
ficiary
Boarding
and
lodging
expenses
paid
Whether any surgical
correction under-
taken
Total
10+11+1
2+13
No. of
days for
which
stayed
Whether
accom-
panied by
escort
Ration Card
No./ Voter ID
No./ Aadhar
Card No.
Photo of bene-ficiary
Yes/No
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
30HARSAT
SAHOO
AT -
PALAHANA,
DIST -
ANUGUL
6 M M BPL - 06-10-2016 10000 100% 0 0TENOTONY &
SERIAL CASTING10000 NILL -
VOTER ID -
KXS1442607
31MINAKHI
SAHOO
MINAKHI
SAHOO18 D F BPL - 06-10-2016 10000 100% 0 0 SERIAL POP CAST 10000 NILL -
32ARPITA
PRIYADARSINI
AT/PO -
HARIANKA,
DIST -
KENDRAPA
DA
2 M F BPL - 06-10-2016 10000 100% 0 0 SERIAL POP CAST 10000 NILL -
ADHAAR NO -
2444 5755
7640
33ADITYA
NARAYAN
MAHARANA
ADITYA
NARAYAN
MAHARANA
14 M BPL - 07-10-2016 10000 100% 0 0RE FIG 8
BANDAGE10000 NILL -
34AYUSH
PARIDA
AT -
NIMAPARA,
DIST - PURI
1 M M BPL - 07-10-2016 10000 100% 0 0 SERIAL CASTING 10000 NILL -
ADHAAR NO -
8384 5733
5197
Page 7 of 34
Sl. NO. Name of
beneficiary
Complete
Address
Age Sex Inocme Type
of Aid
Given
Date on which
given
Total cost of
aid including
fabri-cation/
fitment
charges
Subsidy
provided
Tavel
cost
paid to
out-
station
bene-
ficiary
Boarding
and
lodging
expenses
paid
Whether any surgical
correction under-
taken
Total
10+11+1
2+13
No. of
days for
which
stayed
Whether
accom-
panied by
escort
Ration Card
No./ Voter ID
No./ Aadhar
Card No.
Photo of bene-ficiary
Yes/No
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
35GANESH
BEHERA
AT -
NIMAPARA,
DIST - PURI
1 M M BPL - 07-10-2016 10000 100% 0 0 SERIAL CASTING 10000 NILL -
ADHAAR NO -
4910 6363
1151
36 AYUSH SWAIN
AT -
SUNAKHAL
A,DIST -
NAYAGARH
1.6 M M BPL - 07-10-2016 10000 100% 0 0 SERIAL CASTING 10000 NILL -
ADHAAR NO -
2190 3426
2750
37 SWAYAM DAS
AT -
RAJNAGAR,
DIST -
KENDRAPA
DA
2 M M BPL - 07-10-2016 10000 100% 0 0 SERIAL CASTING 10000 NILL -
ADHAAR NO -
2046 1582
0168
38B/O - LAXMI
PRIYA NAYAK
B/O -
LAXMI
PRIYA
NAYAK
1 M M BPL - 07-10-2016 10000 100% 0 0 SERIAL CASTING 10000 NILL -
39 JEET GIRI
DIST -
MAYURBHA
NJ
1 M M BPL - 07-10-2016 10000 100% 0 0 SERIAL CASTING 10000 NILL -
ADHAAR NO -
4834 7853
6030
Page 8 of 34
Sl. NO. Name of
beneficiary
Complete
Address
Age Sex Inocme Type
of Aid
Given
Date on which
given
Total cost of
aid including
fabri-cation/
fitment
charges
Subsidy
provided
Tavel
cost
paid to
out-
station
bene-
ficiary
Boarding
and
lodging
expenses
paid
Whether any surgical
correction under-
taken
Total
10+11+1
2+13
No. of
days for
which
stayed
Whether
accom-
panied by
escort
Ration Card
No./ Voter ID
No./ Aadhar
Card No.
Photo of bene-ficiary
Yes/No
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
40BARSHA
BEHERA
BARSHA
BEHERA25 F BPL - 07-10-2016 10000 100% 0 0 SERIAL CASTING 10000 NILL -
ADHAAR NO -
3849 8653
0219
41 SWAYAM DAS
DIST -
KENDRAPA
DA
2 M M BPL - 07-10-2016 10000 100% 0 0 SERIAL CASTING 10000 NILL -
ADHAAR NO -
2046 1582
0168
42SUNAKAR
MALLICK
SUNAKAR
MALLICK35 M BPL - 07-10-2016 10000 100% 0 0
RE FIG 8
BANDAGE10000 NILL -
43OMM
PRAKASH
AT -
KEUTASAHI,
SADARA,DIS
T -
CUTTACK
4 M BPL - 07-10-2016 10000 100% 0 0 A.E SLAB 10000 NILL -
44
SANJAYA
KUMAR
MALLICK
DIST - PURI 16 M BPL - 07-10-2016 10000 100% 0 0RE FIG 8
BANDAGE10000 NILL -
VOTER ID -
MDT2360147
Page 9 of 34
Sl. NO. Name of
beneficiary
Complete
Address
Age Sex Inocme Type
of Aid
Given
Date on which
given
Total cost of
aid including
fabri-cation/
fitment
charges
Subsidy
provided
Tavel
cost
paid to
out-
station
bene-
ficiary
Boarding
and
lodging
expenses
paid
Whether any surgical
correction under-
taken
Total
10+11+1
2+13
No. of
days for
which
stayed
Whether
accom-
panied by
escort
Ration Card
No./ Voter ID
No./ Aadhar
Card No.
Photo of bene-ficiary
Yes/No
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
45 S KABITA
AT -
KALINGA,DI
ST -
NABARANG
PUR
20 F BPL - 08-10-2016 10000 100% 0 0 B.K CAST 10000 NILL -
46 ANSU SAHOO
AT -
KATEKISAHI
,ATHAGARH
,DIST -
CUTTACK
2 M M BPL - 13-10-2016 10000 100% 0 0 SERIAL CASTING 10000 NILL -
ADHAAR NO -
8488 0701
6168
47 MAHABIR BAI
AT -
PAIKANAGA
R, PO/PS -
CHANDAKA,
DIST -
KHURDA
1 M M BPL - 13-10-2016 10000 100% 0 0 SERIAL CASTING 10000 NILL -VOTER ID -
MDT1617992
48NAYANA
BISWAL
AT -
BALIPATAN
A,DIST -
KHURDA
60 F BPL - 13-10-2016 10000 100% 0 0
RE
INFORCEMENT
FIG 8 BANDAGE
10000 NILL -
ADHAAR NO -
3927 4388
6720
49HIMANSU
RANA
AT -
KHAIRA,BA
RCHANA,DI
ST - JAJPUR
26 M M BPL - 13-10-2016 10000 100% 0 0 SERIAL CASTING 10000 NILL -
ADHAAR NO -
8365 9899
0366
Page 10 of 34
Sl. NO. Name of
beneficiary
Complete
Address
Age Sex Inocme Type
of Aid
Given
Date on which
given
Total cost of
aid including
fabri-cation/
fitment
charges
Subsidy
provided
Tavel
cost
paid to
out-
station
bene-
ficiary
Boarding
and
lodging
expenses
paid
Whether any surgical
correction under-
taken
Total
10+11+1
2+13
No. of
days for
which
stayed
Whether
accom-
panied by
escort
Ration Card
No./ Voter ID
No./ Aadhar
Card No.
Photo of bene-ficiary
Yes/No
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
50
KHIROD
KUMAR
BEHERA
KHIROD
KUMAR
BEHERA
14 M BPL - 13-10-2016 10000 100% 0 0 A.K POP CAST 10000 NILL -
51SUSANTA
TRIPATHY
AT -
KALASAHI,B
ALIPATANA,
DIST -
KHURDA
38 M BPL - 13-10-2016 10000 100% 0 0
RE
INFORCEMENT
FIG 8 BANDAGE
10000 NILL -
52
B/O -
JAGYASINI
ROUTRAY
AT -
BADAGADA
BRIT
COLONY,BB
SR,DIST -
KHURDA
2 M M BPL - 13-10-2016 10000 100% 0 0 SERIAL CASTING 10000 NILL -
ADHAAR NO -
6516 0828
0060
53B/O -
MINAKHI
SAHOO
DIST -
SAMBALPU
R
1 M F BPL - 13-10-2016 10000 100% 0 0 SERIAL CASTING 10000 NILL -
ADHAAR NO -
8733 0162
7798
54NIRANJAN
GHADEI
AT -
BANAPUR,D
IST -
KHURDA
1 M M BPL - 13-10-2016 10000 100% 0 0 SERIAL CASTING 10000 NILL -
ADHAAR NO -
3101 9273
6210
Page 11 of 34
Sl. NO. Name of
beneficiary
Complete
Address
Age Sex Inocme Type
of Aid
Given
Date on which
given
Total cost of
aid including
fabri-cation/
fitment
charges
Subsidy
provided
Tavel
cost
paid to
out-
station
bene-
ficiary
Boarding
and
lodging
expenses
paid
Whether any surgical
correction under-
taken
Total
10+11+1
2+13
No. of
days for
which
stayed
Whether
accom-
panied by
escort
Ration Card
No./ Voter ID
No./ Aadhar
Card No.
Photo of bene-ficiary
Yes/No
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
55B/O -
SUHASINI
NAYAK
AT -
JORANDA,D
IST -
DHENKANA
L
1 M M BPL - 13-10-2016 10000 100% 0 0 SERIAL CASTING 10000 NILL -
ADHAAR NO -
9006 9884
9602
56B/O - SIPRA
SATHPATHY
DIST -
DHENKANA
L
1 M M BPL - 13-10-2016 10000 100% 0 0 SERIAL CASTING 10000 NILL -
ADHAAR NO -
8492 9001
2152
57JAYSREE
BISWAL
AT -
TIRTOL,DIST
-
JAGATSING
HPUR
5 F BPL - 13-10-2016 10000 100% 0 0 SERIAL CASTING 10000 NILL -
58
UDIT
NARAYAN
SINGH
AT -
UDALA,DIST
-
MAYURBHA
NJ
1.5 M BPL - 13-10-2016 10000 100% 0 0 SERIAL CASTING 10000 NILL -
59TAPAN
KUMAR
BEHERA
AT -
TAMAKA,DI
ST -
JAJAPUR
4 M BPL - 13-10-2016 10000 100% 0 0 A.K CAST 10000 NILL -
Page 12 of 34
Sl. NO. Name of
beneficiary
Complete
Address
Age Sex Inocme Type
of Aid
Given
Date on which
given
Total cost of
aid including
fabri-cation/
fitment
charges
Subsidy
provided
Tavel
cost
paid to
out-
station
bene-
ficiary
Boarding
and
lodging
expenses
paid
Whether any surgical
correction under-
taken
Total
10+11+1
2+13
No. of
days for
which
stayed
Whether
accom-
panied by
escort
Ration Card
No./ Voter ID
No./ Aadhar
Card No.
Photo of bene-ficiary
Yes/No
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
60SUNAKAR
MALLICK
SUNAKAR
MALLICK35 M BPL - 14-10-2016 10000 100% 0 0
RE FIG 8
BANDAGE10000 NILL -
61SUNIL KUMAR
GOUDA
SUNIL
KUMAR
GOUDA
1 M M BPL - 14-10-2016 10000 100% 0 0TENOTONY &
SERIAL POP CAST10000 NILL -
62
JAGA
PRAKASH
MAJHI
JAGA
PRAKASH
MAJHI
2 M M BPL - 14-10-2016 10000 100% 0 0 SERIAL POP CAST 10000 NILL -
63AYUSMAN
MOHANTY
AYUSMAN
MOHANTY2 M M BPL - 14-10-2016 10000 100% 0 0 SERIAL POP CAST 10000 NILL -
64RABINDRA
BEHERA
RABINDRA
BEHERA10 M M BPL - 14-10-2016 10000 100% 0 0 SERIAL POP CAST 10000 NILL -
Page 13 of 34
Sl. NO. Name of
beneficiary
Complete
Address
Age Sex Inocme Type
of Aid
Given
Date on which
given
Total cost of
aid including
fabri-cation/
fitment
charges
Subsidy
provided
Tavel
cost
paid to
out-
station
bene-
ficiary
Boarding
and
lodging
expenses
paid
Whether any surgical
correction under-
taken
Total
10+11+1
2+13
No. of
days for
which
stayed
Whether
accom-
panied by
escort
Ration Card
No./ Voter ID
No./ Aadhar
Card No.
Photo of bene-ficiary
Yes/No
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
65B/O - PRABN
SWAIN
B/O -
PRABN
SWAIN
1 M M BPL - 14-10-2016 10000 100% 0 0 SERIAL POP CAST 10000 NILL -
66 TOFAN NAYAKTOFAN
NAYAK3 M M BPL - 14-10-2016 10000 100% 0 0 SERIAL POP CAST 10000 NILL -
67 ARPIT DAS ARPIT DAS 2 M F BPL - 14-10-2016 10000 100% 0 0 SERIAL POP CAST 10000 NILL -
68 RABI SANKARRABI
SANKAR1 M M BPL - 14-10-2016 10000 100% 0 0 SERIAL POP CAST 10000 NILL -
69ARPITA
PRIYADARSINI
DAS
ARPITA
PRIYADARSI
NI DAS
3 M F BPL - 14-10-2016 10000 100% 0 0 SERIAL POP CAST 10000 NILL -
Page 14 of 34
Sl. NO. Name of
beneficiary
Complete
Address
Age Sex Inocme Type
of Aid
Given
Date on which
given
Total cost of
aid including
fabri-cation/
fitment
charges
Subsidy
provided
Tavel
cost
paid to
out-
station
bene-
ficiary
Boarding
and
lodging
expenses
paid
Whether any surgical
correction under-
taken
Total
10+11+1
2+13
No. of
days for
which
stayed
Whether
accom-
panied by
escort
Ration Card
No./ Voter ID
No./ Aadhar
Card No.
Photo of bene-ficiary
Yes/No
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
70 PRATYUSH BAI
AT/PO -
OLABAR,DIS
T -
KENDRAPA
DA
1 M M BPL - 14-10-2016 10000 100% 0 0 SERIAL POP CAST 10000 NILL -
71MANAS
NAYAK
AT -
KADAMAUD
A,PO -
HATIADIHA,
DIST -
BALESWAR
2 M M BPL - 14-10-2016 10000 100% 0 0 SERIAL POP CAST 10000 NILL -
ADHAAR NO -
2237 2614
8711
72NIYATI
PRADHAN
NIYATI
PRADHAN6 M F BPL - 14-10-2016 10000 100% 0 0 SERIAL POP CAST 10000 NILL -
73AMIYA
MUDULI
AT -
KENPUR,DIS
T -
CUTTACK
18 M BPL - 17-10-2016 10000 100% 0 0
RE
INFORCEMENT
FIG 8 BANDAGE
10000 NILL -
ADHAAR NO -
9260 2247
7766
74BIKASH
MOHANTY
AT -
BARBIL,DIST
- KEONJHAR
4 M M BPL - 17-10-2016 10000 100% 0 0 SERIAL CASTING 10000 NILL -
ADHAAR NO -
9328 8940
7833
Page 15 of 34
Sl. NO. Name of
beneficiary
Complete
Address
Age Sex Inocme Type
of Aid
Given
Date on which
given
Total cost of
aid including
fabri-cation/
fitment
charges
Subsidy
provided
Tavel
cost
paid to
out-
station
bene-
ficiary
Boarding
and
lodging
expenses
paid
Whether any surgical
correction under-
taken
Total
10+11+1
2+13
No. of
days for
which
stayed
Whether
accom-
panied by
escort
Ration Card
No./ Voter ID
No./ Aadhar
Card No.
Photo of bene-ficiary
Yes/No
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
75JAGYASINI
BARALA
AT -
SADARA,DIS
T -
DHENKANA
L
6 M F BPL - 17-10-2016 10000 100% 0 0TENOTONY &
SERIAL CASTING10000 NILL -
ADHAAR NO -
9577 3158
9578
76
SHYAM
SUNDER
PATRA
AT -
GANGESWA
RGARH,DIS
T -
CUTTACK
13 M BPL - 17-10-2016 10000 100% 0 0 SERIAL CASTING 10000 NILL -
77ARAVI
SUNDAR RAY
AT -
HARIPUR,DI
ST -
CUTTACK
5 M F BPL - 17-10-2016 10000 100% 0 0 SERIAL CASTING 10000 NILL -
ADHAAR NO -
3824 8940
2120
78
B/O -
MAMATA
PATI
DIST -
GANJAM1 M M BPL - 17-10-2016 10000 100% 0 0 SERIAL CASTING 10000 NILL -
ADHAAR NO -
5623 7313
9543
79KRUSHNA
PRASAD
SAHOO
AT -
SANKHATA
NAS,SADAR
A,DIST -
CUTTACK
28 M BPL - 17-10-2016 10000 100% 0 0 FIG 8 BANGAE 10000 NILL -
Page 16 of 34
Sl. NO. Name of
beneficiary
Complete
Address
Age Sex Inocme Type
of Aid
Given
Date on which
given
Total cost of
aid including
fabri-cation/
fitment
charges
Subsidy
provided
Tavel
cost
paid to
out-
station
bene-
ficiary
Boarding
and
lodging
expenses
paid
Whether any surgical
correction under-
taken
Total
10+11+1
2+13
No. of
days for
which
stayed
Whether
accom-
panied by
escort
Ration Card
No./ Voter ID
No./ Aadhar
Card No.
Photo of bene-ficiary
Yes/No
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
80BABIT
AMOHANTA
AT -
KURUPADA,
DIST -
KEONJHAR
3 M F BPL - 17-10-2016 10000 100% 0 0 SERIAL CASTING 10000 NILL -
ADHAAR NO -
1164 6558
5086
81BHAKTA
RANJAN
BEHERA
BHAKTA
RANJAN
BEHERA
36 M BPL - 18-10-2016 10000 100% 0 0RE FIG 8
BANDAGE10000 NILL -
ADHAR NO -
4707 3813
5550
82ANSUMAN
PATEL
DIST -
SUNDERGA
RH
2 M M BPL - 18-10-2016 10000 100% 0 0TENOTONY RE
CAST10000 NILL -
ADHAAR NO -
9552 5025
7978
83RAMA
SANKAR JENA
AT -
JALESWAR,
DIST -
BALESORE
3 M M BPL - 18-10-2016 10000 100% 0 0 SERIAL CASTING 10000 NILL -
ADHAAR NO -
8365 1208
1020
84 SIPUN NAYAK
AT -
CHAMPUA,
DIST -
KEONJHAR
8 M M BPL - 18-10-2016 10000 100% 0 0 SERIAL CASTING 10000 NILL -
ADHAAR NO -
7569 0069
5318
Page 17 of 34
Sl. NO. Name of
beneficiary
Complete
Address
Age Sex Inocme Type
of Aid
Given
Date on which
given
Total cost of
aid including
fabri-cation/
fitment
charges
Subsidy
provided
Tavel
cost
paid to
out-
station
bene-
ficiary
Boarding
and
lodging
expenses
paid
Whether any surgical
correction under-
taken
Total
10+11+1
2+13
No. of
days for
which
stayed
Whether
accom-
panied by
escort
Ration Card
No./ Voter ID
No./ Aadhar
Card No.
Photo of bene-ficiary
Yes/No
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
85 SIPAN NAYAK
AT -
CHAMPUA,
DIST -
KEONJHAR
6 M M BPL - 18-10-2016 10000 100% 0 0 SERIAL CASTING 10000 NILL -
ADHAAR NO -
7569 0069
5318
86AYUSH
PARIDA
AT -
NIMAPARA,
DIST -PURI
1 M F BPL - 18-10-2016 10000 100% 0 0 SERIAL CASTING 10000 NILL -
ADHAAR NO -
8384 5733
5197
87MANORANJA
N NAYAK
AT -
BARACHAN
A,DIST -
JAJPUR
2 M M BPL - 18-10-2016 10000 100% 0 0 SERIAL CASTING 10000 NILL -
ADHAAR NO -
3615 9919
0543
88PRATIMA
DEHURY
DIST -
ANUGUL1 M F BPL - 18-10-2016 10000 100% 0 0 SERIAL CASTING 10000 NILL -
ADHAAR NO -
9563 0928
5840
89ABHIJIT
MAHALIK
AT -
SORE,DIST -
BALESORE
4 M M BPL - 18-10-2016 10000 100% 0 0 SERIAL CASTING 10000 NILL -
ADHAAR NO -
8856 4218
0294
Page 18 of 34
Sl. NO. Name of
beneficiary
Complete
Address
Age Sex Inocme Type
of Aid
Given
Date on which
given
Total cost of
aid including
fabri-cation/
fitment
charges
Subsidy
provided
Tavel
cost
paid to
out-
station
bene-
ficiary
Boarding
and
lodging
expenses
paid
Whether any surgical
correction under-
taken
Total
10+11+1
2+13
No. of
days for
which
stayed
Whether
accom-
panied by
escort
Ration Card
No./ Voter ID
No./ Aadhar
Card No.
Photo of bene-ficiary
Yes/No
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
90SAI SWARUPA
SAMAL
AT -
CHATIA,DIS
T - JAJPUR,
1 M M BPL - 18-10-2016 10000 100% 0 0 SERIAL CASTING 10000 NILL -
ADHAAR NO -
5969 6768
8167
91ABHISEK
BEHERA
AT -
DADHAPAT
ANA,BERAN
GA,DIST -
CUTTACK
13 M BPL - 18-10-2016 10000 100% 0 0 SERIAL CASTING 10000 NILL -
92 SRIYA BEHERA
AT -
NIRAKARPU
R,DIST -
KHURDA
26 F BPL - 18-10-2016 10000 100% 0 0 SERIAL CASTING 10000 NILL -
93SOUBHAGYA
RANJAN
BEHERA
AT -
OLATPUR,D
IST -
CUTTACK
13 F BPL - 18-10-2016 10000 100% 0 0 B.E CAST 10000 NILL -
ADHAAR NO -
9116 2336
8226
94BABLU
GHOSLA
AT -
NARAYAN
PATNA,DIST
- KORAPUT
10 M BPL - 18-10-2016 10000 100% 0 0 B.K CAST 10000 NILL -
Page 19 of 34
Sl. NO. Name of
beneficiary
Complete
Address
Age Sex Inocme Type
of Aid
Given
Date on which
given
Total cost of
aid including
fabri-cation/
fitment
charges
Subsidy
provided
Tavel
cost
paid to
out-
station
bene-
ficiary
Boarding
and
lodging
expenses
paid
Whether any surgical
correction under-
taken
Total
10+11+1
2+13
No. of
days for
which
stayed
Whether
accom-
panied by
escort
Ration Card
No./ Voter ID
No./ Aadhar
Card No.
Photo of bene-ficiary
Yes/No
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
95B/O -
CHINTAMANI
DAS
DIST -
BHADRAK5 M M BPL - 18-10-2016 10000 100% 0 0 SERIAL CASTING 10000 NILL -
ADHAAR NO -
9405 4815
3351
96SWATI
PRADHAN
AT -
KHAIRMAL,
DIST -
BOUDH
6 M F BPL - 19-10-2016 10000 100% 0 0 SERIAL CASTING 10000 NILL -
ADHAAR NO -
6268 3400
0713
97GANESH
BEHERA
AT -
NIMAPARA,
DIST - PURI
2 M M BPL - 19-10-2016 10000 100% 0 0 SERIAL CASTING 10000 NILL -
ADHAAR NO -
4910 6363
1151
98AKSHYA
ROULA
AT -
KAVITI,DIST -
SRIKA
KULAM
7 M M BPL - 19-10-2016 10000 100% 0 0 SERIAL CASTING 10000 NILL -
ADHAAR NO -
5496 5021
6590
99 HJEET GIRI
DIST -
MAYURBHA
NJ
1 M M BPL - 19-10-2016 10000 100% 0 0 SERIAL CASTING 10000 NILL -
ADHAAR NO -
4834 7853
6030
Page 20 of 34
Sl. NO. Name of
beneficiary
Complete
Address
Age Sex Inocme Type
of Aid
Given
Date on which
given
Total cost of
aid including
fabri-cation/
fitment
charges
Subsidy
provided
Tavel
cost
paid to
out-
station
bene-
ficiary
Boarding
and
lodging
expenses
paid
Whether any surgical
correction under-
taken
Total
10+11+1
2+13
No. of
days for
which
stayed
Whether
accom-
panied by
escort
Ration Card
No./ Voter ID
No./ Aadhar
Card No.
Photo of bene-ficiary
Yes/No
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
100B/O - PRATIVA
SHAOO
B/O -
PRATIVA
SHAOO
2 M M BPL - 19-10-2016 10000 100% 0 0 SERIAL CASTING 10000 NILL -
101SIBANI
BEHERA
AT -
JATIA,PO -
SARANGA,D
IST -
DHENKANA
L
3 M F BPL - 19-10-2016 10000 100% 0 0 SERIAL POP CAST 10000 NILL -
102B/O - BENGA
MALLICK
B/O -
BENGA
MALLICK
1 M M BPL - 19-10-2016 10000 100% 0 0 SERIAL POP CAST 10000 NILL -
103SUBHAM
ROUTRAY
SUBHAM
ROUTRAY1 M M BPL - 19-10-2016 10000 100% 0 0 SERIAL POP CAST 10000 NILL -
104SABITRI
NAYAK
AT/PO -
PAHUNGA,
DIST -
CUTTACK
30 F BPL - 19-10-2016 10000 100% 0 0ASPIRATION & R.J
BANDAGE10000 NILL -
Page 21 of 34
Sl. NO. Name of
beneficiary
Complete
Address
Age Sex Inocme Type
of Aid
Given
Date on which
given
Total cost of
aid including
fabri-cation/
fitment
charges
Subsidy
provided
Tavel
cost
paid to
out-
station
bene-
ficiary
Boarding
and
lodging
expenses
paid
Whether any surgical
correction under-
taken
Total
10+11+1
2+13
No. of
days for
which
stayed
Whether
accom-
panied by
escort
Ration Card
No./ Voter ID
No./ Aadhar
Card No.
Photo of bene-ficiary
Yes/No
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
105B/O - ARJUN
KUMAR
BEHERA
AT -
NADIAGUR
UNDI,DIST -
CUTTACK
1 M M BPL - 20-10-2016 10000 100% 0 0 SERIAL CASTING 10000 NILL -
ADHAAR NO -
6218 2489
1741
106SULOCHANA
NAYAK
AT -
BALIPATAN
A,DIST -
KHURDA
29 F BPL - 20-10-2016 10000 100% 0 0 A.E CAST 10000 NILL -
ADHAR NO -
9610 4026
8449
107LOVELY
BEHERA
AT -
ITAMATI,DI
ST -
NAYAGARH
11 M F BPL - 20-10-2016 10000 100% 0 0 SERIAL CASTING 10000 NILL -
ADHAAR NO -
2117 9512
2397
108
RUPAK
KUMAR
GANGEI
AT -
BALIAPADA,
DIST -
BALESORE
2 M M BPL - 20-10-2016 10000 100% 0 0 SERIAL CASTING 10000 NILL -
ADHAAR NO -
9946 7393
9232
109 AYUSH JAIN
AT -
SUNAKHAL
A,DIST -
NAYAGARH
2 M F BPL - 20-10-2016 10000 100% 0 0 SERIAL CASTING 10000 NILL -
ADHAR NO -
2191 3426
2750
Page 22 of 34
Sl. NO. Name of
beneficiary
Complete
Address
Age Sex Inocme Type
of Aid
Given
Date on which
given
Total cost of
aid including
fabri-cation/
fitment
charges
Subsidy
provided
Tavel
cost
paid to
out-
station
bene-
ficiary
Boarding
and
lodging
expenses
paid
Whether any surgical
correction under-
taken
Total
10+11+1
2+13
No. of
days for
which
stayed
Whether
accom-
panied by
escort
Ration Card
No./ Voter ID
No./ Aadhar
Card No.
Photo of bene-ficiary
Yes/No
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
110SAI PRAKASH
JENA
DIST -
BHADRAK3 M M BPL - 20-10-2016 10000 100% 0 0 SERIAL CASTING 10000 NILL -
ADHAAR NO -
8562 6028
6288
111CHUMKI RANI
SAHUKAR
DIST -
RAYAGADA2 F BPL - 20-10-2016 10000 100% 0 0 SERIAL CASTING 10000 NILL -
ADHAAR NO -
6866 0527
8480
112JAGYASINI
BEHURA
AT -
NUAGAON,
DIST -
JAGATSING
HPUR
7 F BPL - 20-10-2016 10000 100% 0 0 A.E CAST 10000 NILL -
113B/O - ABU
BODAR
AT -
NAYAHATA,
DIST - PURI
1 M M BPL - 20-10-2016 10000 100% 0 0 SERIAL CASTING 10000 NILL -
ADHAAR NO -
8487 9048
4942
114B/O - LAXMI
PRIYA NAYAK
AT -
KALINGA
NAGAR,DIS
T - JAJPUR
3 M M BPL - 20-10-2016 10000 100% 0 0 SERIAL CASTING 10000 NILL -
ADHAAR NO -
6400 1763
4730
Page 23 of 34
Sl. NO. Name of
beneficiary
Complete
Address
Age Sex Inocme Type
of Aid
Given
Date on which
given
Total cost of
aid including
fabri-cation/
fitment
charges
Subsidy
provided
Tavel
cost
paid to
out-
station
bene-
ficiary
Boarding
and
lodging
expenses
paid
Whether any surgical
correction under-
taken
Total
10+11+1
2+13
No. of
days for
which
stayed
Whether
accom-
panied by
escort
Ration Card
No./ Voter ID
No./ Aadhar
Card No.
Photo of bene-ficiary
Yes/No
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
115MNAKSHI
SAHOO
MNAKSHI
SAHOO2 M F BPL - 20-10-2016 10000 100% 0 0 SERIAL POP CAST 10000 NILL -
116RUSI KANTA
NAYAK
DIST -
KHURDA34 M BPL - 20-10-2016 10000 100% 0 0 B.K CAST 10000 NILL -
117 AYUSH DAS
AT -
BHOGARAI,
DIST -
BALESORE
2.5 M M BPL - 21-10-2016 10000 100% 0 0 SERIAL CASTING 10000 NILL -
ADHAAR NO -
8392 0656
9209
118 ANSU SAHOO
AT -
ATHAGARH,
DIST -
CUTTACK
2 M M BPL - 21-10-2016 10000 100% 0 0 SERIAL CASTING 10000 NILL -
ADHAR NO -
8488 0701
6168
119BARSH
ABEHERA
AT -
TIHIDI,DIST -
BHADRAK
3 M F BPL - 21-10-2016 10000 100% 0 0 SERIAL CASTING 10000 NILL -
ADHAAR NO -
3849 8653
0219
Page 24 of 34
Sl. NO. Name of
beneficiary
Complete
Address
Age Sex Inocme Type
of Aid
Given
Date on which
given
Total cost of
aid including
fabri-cation/
fitment
charges
Subsidy
provided
Tavel
cost
paid to
out-
station
bene-
ficiary
Boarding
and
lodging
expenses
paid
Whether any surgical
correction under-
taken
Total
10+11+1
2+13
No. of
days for
which
stayed
Whether
accom-
panied by
escort
Ration Card
No./ Voter ID
No./ Aadhar
Card No.
Photo of bene-ficiary
Yes/No
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
120
TAPAN
KUMAR
SWAIN
AT -
BALIAPATA
NA,DIST -
KHURDA
32 M BPL - 21-10-2016 10000 100% 0 0 FIG 8 BANDAGE 10000 NILL -
ADHAAR NO -
5279 6787
5317
121BIBHU
PRASAD BHOI
BIBHU
PRASAD
BHOI
4.5 M M BPL - 21-10-2016 10000 100% 0 0 A.E POP CAST 10000 NILL -
122 LIPSA DAS
AT -
KACHANAB
ALA,DIST -
CUTTACK
23 D F BPL - 24-10-2016 10000 100% 0 0 SERIAL CASTING 10000 NILL -
ADHAAR NO -
3499 1047
0752
123B/O - PARBATI
NAYAK
DIST -
JHARSUGU
DA
18 M M BPL - 24-10-2016 10000 100% 0 0 SERIAL CASTING 10000 NILL -
124SAHIL
DEHURY
AT -
MAHULPAL,
DIST -
DHENKANA
L
1.5 M M BPL - 24-10-2016 10000 100% 0 0 SERIAL CASTING 10000 NILL -
ADHAAR NO -
9646 9161
0021
Page 25 of 34
Sl. NO. Name of
beneficiary
Complete
Address
Age Sex Inocme Type
of Aid
Given
Date on which
given
Total cost of
aid including
fabri-cation/
fitment
charges
Subsidy
provided
Tavel
cost
paid to
out-
station
bene-
ficiary
Boarding
and
lodging
expenses
paid
Whether any surgical
correction under-
taken
Total
10+11+1
2+13
No. of
days for
which
stayed
Whether
accom-
panied by
escort
Ration Card
No./ Voter ID
No./ Aadhar
Card No.
Photo of bene-ficiary
Yes/No
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
125ARPITA PRIYA
DARSINI DAS
AT -
SADARA,DIS
T -
KENDRAPA
DA
3 M F BPL - 24-10-2016 10000 100% 0 0 SERIAL CASTING 10000 NILL -
ADHAAR NO -
2444 5755
7640
126JEET KU
NAYAK
DIST -
DHENKANA
L
1 M BPL - 24-10-2016 10000 100% 0 0 SERIAL CASTING 10000 NILL -
127BABITA
MAHANTA
AT -
ANANDPUR
,DIST -
KEONJHAR
3 M F BPL - 24-10-2016 10000 100% 0 0 SERIAL CASTING 10000 NILL -
ADHAAR NO -
1646 5585
0867
128 D.V LENKA
AT -
NIALI,DIST -
CUTTACK
18 F BPL - 24-10-2016 10000 100% 0 0 FIG 8 BANDAGE 10000 NILL -
ADHAAR NO -
7747 5362
6157
129DILLIP KU
BEHERA
AT -
BALIPATAN
A,DIST -
KHURDA
32 M BPL - 24-10-2016 10000 100% 0 0 FIG 8 BANDAGE 10000 NILL -
Page 26 of 34
Sl. NO. Name of
beneficiary
Complete
Address
Age Sex Inocme Type
of Aid
Given
Date on which
given
Total cost of
aid including
fabri-cation/
fitment
charges
Subsidy
provided
Tavel
cost
paid to
out-
station
bene-
ficiary
Boarding
and
lodging
expenses
paid
Whether any surgical
correction under-
taken
Total
10+11+1
2+13
No. of
days for
which
stayed
Whether
accom-
panied by
escort
Ration Card
No./ Voter ID
No./ Aadhar
Card No.
Photo of bene-ficiary
Yes/No
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
130 KIRTIK BHOI
AT -
BIRIDI,DIST -
JAGATSING
HPUR
27 F BPL - 24-10-2016 10000 100% 0 0 SERIAL CASTING 10000 NILL -
ADHAR NO -
4016 5395
4492
131MANAS
NAYAK
AT/PO -
KADAMAUD
A,DIST -
BALESORE
2 M M BPL - 24-10-2016 10000 100% 0 0 SERIAL POP CAST 10000 NILL -
ADHAAR NO -
2237 2614
8711
132 PRATYUSH BAIPRATYUSH
BAI1 M M BPL - 24-10-2016 10000 100% 0 0 SERIAL POP CAST 10000 NILL -
133ABHISEK
BEHERA
AT -
BARANGA,D
IST -
CUTTACK
1 M M BPL - 24-10-2016 10000 100% 0 0 SERIAL CASTING 10000 NILL -VOTER ID -
JTV225905
134SUSAMA
PADHI
AT/PO -
NIMAPARA,
DIST - PURI
60 F BPL - 25-10-2016 10000 100% 0 0 B.E POP CAST 10000 NILL -
Page 27 of 34
Sl. NO. Name of
beneficiary
Complete
Address
Age Sex Inocme Type
of Aid
Given
Date on which
given
Total cost of
aid including
fabri-cation/
fitment
charges
Subsidy
provided
Tavel
cost
paid to
out-
station
bene-
ficiary
Boarding
and
lodging
expenses
paid
Whether any surgical
correction under-
taken
Total
10+11+1
2+13
No. of
days for
which
stayed
Whether
accom-
panied by
escort
Ration Card
No./ Voter ID
No./ Aadhar
Card No.
Photo of bene-ficiary
Yes/No
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
135RAMA
SANKAR RANA
RAMA
SANKAR
RANA
3 M M BPL - 25-10-2016 10000 100% 0 0 SERIAL POP CAST 10000 NILL -
ADHAAR NO -
8365 1208
1020
136SAI SUBHAM
DAS
DIST -
BHADRAK5 M M BPL - 25-10-2016 10000 100% 0 0 SERIAL CASTING 10000 NILL -
ADHAAR NO -
9405 4815
3351
137ANIRUDH
MOHARANA
AT -
DUBURI,DIS
T - JAJPUR
4 M M BPL - 25-10-2016 10000 100% 0 0 SERIAL CASTING 10000 NILL -
ADHAAR NO -
3091 8280
9219
138DEEPTIMAYEE
NAYAK
AT -
NIMAPARA,
DIST - PURI
5 M F BPL - 25-10-2016 10000 100% 0 0 SERIAL CASTING 10000 NILL -VOTER ID -
SVJO121426
139SAI SWARUPA
SAMAL
DIST -
JAJPUR1 M M BPL - 26-10-2016 10000 100% 0 0 SERIAL CASTING 10000 NILL -
ADHAAR NO -
5969 6768
8167
Page 28 of 34
Sl. NO. Name of
beneficiary
Complete
Address
Age Sex Inocme Type
of Aid
Given
Date on which
given
Total cost of
aid including
fabri-cation/
fitment
charges
Subsidy
provided
Tavel
cost
paid to
out-
station
bene-
ficiary
Boarding
and
lodging
expenses
paid
Whether any surgical
correction under-
taken
Total
10+11+1
2+13
No. of
days for
which
stayed
Whether
accom-
panied by
escort
Ration Card
No./ Voter ID
No./ Aadhar
Card No.
Photo of bene-ficiary
Yes/No
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
140 LOVA BHOI
AT -
BADASAILO,
SADARA,DIS
T -
CUTTACK
60 F BPL - 26-10-2016 10000 100% 0 0 FIG 8 BANDAGE 10000 NILL -
141 LAXMIPRIYA
AT -
BAMANALA
,DIST - PURI
7 F BPL - 26-10-2016 10000 100% 0 0
RE
MANIPULATION
& A.E CAST
10000 NILL -
142
SHYAM
SUNDER
SAHOO
SHYAM
SUNDER
SAHOO
55 M BPL - 26-10-2016 10000 100% 0 0 RE A.K POP CAST 10000 NILL -
143B/O - PRABIR
SWAIN
B/O -
PRABIR
SWAIN
9 D M BPL - 26-10-2016 10000 100% 0 0 SERIAL POP CAST 10000 NILL -
144SIBANI
BEHERA
SIBANI
BEHERA3 M F BPL - 26-10-2016 10000 100% 0 0 SERIAL POP CAST 10000 NILL -
Page 29 of 34
Sl. NO. Name of
beneficiary
Complete
Address
Age Sex Inocme Type
of Aid
Given
Date on which
given
Total cost of
aid including
fabri-cation/
fitment
charges
Subsidy
provided
Tavel
cost
paid to
out-
station
bene-
ficiary
Boarding
and
lodging
expenses
paid
Whether any surgical
correction under-
taken
Total
10+11+1
2+13
No. of
days for
which
stayed
Whether
accom-
panied by
escort
Ration Card
No./ Voter ID
No./ Aadhar
Card No.
Photo of bene-ficiary
Yes/No
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
145SATYABRATA
PALAI
SATYABRAT
A PALAI35 M BPL - 27-10-2016 10000 100% 0 0 RE A,K POP CAST 10000 NILL -
146TRISHA
PRADHAN
AT -
BELAPADA,
BALUGAON,
DIST -
KHURDA
2.6 M F BPL - 27-10-2016 10000 100% 0 0 SERIAL CASTING 10000 NILL -VOTER ID -
SIVO622290
147LAXMI PRIYA
SAHOO
AT -
BAMANALA
,DIST - PURI
7 F BPL - 27-10-2016 10000 100% 0 0
RE
MANIPULATION
& A.E CAST
10000 NILL -
148JAY PRAKASH
MAJHI
AT -
JALESORE,D
IST -
BALESORE
1.5 M M BPL - 27-10-2016 10000 100% 0 0 SERIAL CASTING 10000 NILL -
ADHAAR NO -
4768 5131
6720
149TAPAN
KUMAR
SAHOO
TAPAN
KUMAR
SAHOO
32 M BPL - 27-10-2016 10000 100% 0 0 RE BANDAGE 10000 NILL -
ADHAAR NO -
5279 6787
5317
Page 30 of 34
Sl. NO. Name of
beneficiary
Complete
Address
Age Sex Inocme Type
of Aid
Given
Date on which
given
Total cost of
aid including
fabri-cation/
fitment
charges
Subsidy
provided
Tavel
cost
paid to
out-
station
bene-
ficiary
Boarding
and
lodging
expenses
paid
Whether any surgical
correction under-
taken
Total
10+11+1
2+13
No. of
days for
which
stayed
Whether
accom-
panied by
escort
Ration Card
No./ Voter ID
No./ Aadhar
Card No.
Photo of bene-ficiary
Yes/No
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
150 ARPITA DAS
AT -
TIRTOLA,DI
ST -
JAGATSING
HPUR
2 M F BPL - 27-10-2016 10000 100% 0 0 SERIAL CASTING 10000 NILL -
ADHAAR NO-
5377 0514
3586
151ASISH
MALLICK
DIST -
NAYAGARH1 M M BPL - 27-10-2016 10000 100% 0 0 SERIAL CASTING 10000 NILL -
ADHAAR NO -
2840 6031
9869
152
ARJUN
KUMAR
NAYAK
ARJUN
KUMAR
NAYAK
1 M M BPL - 27-10-2016 10000 100% 0 0 SERIAL POP CAST 10000 NILL -
153HEMANTA
KUMAR
SINGH
HEMANTA
KUMAR
SINGH
38 M BPL - 27-10-2016 10000 100% 0 0 POP PTB CAST 10000 NILL -
154AKASH
MALLICK
AT/PO -
KANDUBILA
,DIST -
KHURDA
16 M BPL - 27-10-2016 10000 100% 0 0 POP BOOT CAST 10000 NILL -
ADHAAR NO -
3102 3094
3131
Page 31 of 34
Sl. NO. Name of
beneficiary
Complete
Address
Age Sex Inocme Type
of Aid
Given
Date on which
given
Total cost of
aid including
fabri-cation/
fitment
charges
Subsidy
provided
Tavel
cost
paid to
out-
station
bene-
ficiary
Boarding
and
lodging
expenses
paid
Whether any surgical
correction under-
taken
Total
10+11+1
2+13
No. of
days for
which
stayed
Whether
accom-
panied by
escort
Ration Card
No./ Voter ID
No./ Aadhar
Card No.
Photo of bene-ficiary
Yes/No
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
155KALYANI
SAHOO
KALYANI
SAHOO23 F BPL - 28-10-2016 10000 100% 0 0 A,K POP CAST 10000 NILL -
156NIRANJAN
GHADEI
NIRANJAN
GHADEI1 M M BPL - 28-10-2016 10000 100% 0 0 SERIAL POP CAST 10000 NILL -
157SAI OM
SWAIN
SAI OM
SWAIN1 M BPL - 28-10-2016 10000 100% 0 0
RE FIG 8
BANDAGE10000 NILL -
158JITENDRA
SAMAL
JITENDRA
SAMAL16 M BPL - 28-10-2016 10000 100% 0 0
RE
MANIPULATION
A.E POP CAST
10000 NILL -
159DILLIP
BEHERA
DILLIP
BEHERA32 M BPL - 31-10-2016 10000 100% 0 0
RE FIG 8
BANDAGE10000 NILL -
Page 32 of 34
Sl. NO. Name of
beneficiary
Complete
Address
Age Sex Inocme Type
of Aid
Given
Date on which
given
Total cost of
aid including
fabri-cation/
fitment
charges
Subsidy
provided
Tavel
cost
paid to
out-
station
bene-
ficiary
Boarding
and
lodging
expenses
paid
Whether any surgical
correction under-
taken
Total
10+11+1
2+13
No. of
days for
which
stayed
Whether
accom-
panied by
escort
Ration Card
No./ Voter ID
No./ Aadhar
Card No.
Photo of bene-ficiary
Yes/No
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
160
SATYA
NARAYAN
LENKA
AT/PO -
MAHAPURA
SINDIA,DIST
- BALESORE
1.5 M M BPL - 31-10-2016 10000 100% 0 0 SERIAL POP CAST 10000 NILL -
ADHAAR NO -
9105 1352
3475
161DEEPSIKHA
UJAYINI
LENKA
DEEPSIKHA
UJAYINI
LENKA
1.8 M F BPL - 31-10-2016 10000 100% 0 0RE FIG 8
BANDAGE10000 NILL -
162JAYA LAXMI
BEHERA
JAYA LAXMI
BEHERA3 M F BPL - 31-10-2016 10000 100% 0 0 SERIAL POP CAST 10000 NILL -
163BABITA
MAHANTA
BABITA
MAHANTA3 M F BPL - 31-10-2016 10000 100% 0 0 SERIAL POP CAST 10000 NILL -
164KHIRADKR
BEHERA
KHIRADKR
BEHERA14 M BPL - 31-10-2016 10000 100% 0 0 SERIAL POP CAST 10000 NILL -
Page 33 of 34
Sl. NO. Name of
beneficiary
Complete
Address
Age Sex Inocme Type
of Aid
Given
Date on which
given
Total cost of
aid including
fabri-cation/
fitment
charges
Subsidy
provided
Tavel
cost
paid to
out-
station
bene-
ficiary
Boarding
and
lodging
expenses
paid
Whether any surgical
correction under-
taken
Total
10+11+1
2+13
No. of
days for
which
stayed
Whether
accom-
panied by
escort
Ration Card
No./ Voter ID
No./ Aadhar
Card No.
Photo of bene-ficiary
Yes/No
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
165CHANDA
KANDEI
CHANDA
KANDEI14 M BPL - 31-10-2016 10000 100% 0 0 FIG 8 BANDAGE 10000 NILL -
166 ASHISH ASHISH 6 M M BPL - 31-10-2016 10000 100% 0 0 SERIAL POP CAST 10000 NILL -
1660000 0 0 1660000
Page 34 of 34