SWAMI VIVEKANAND NATIONAL INSTITUTE OF …svnirtar.nic.in/sites/default/files/patients_list_adip_pmr/Minor_OT_OCT_18.pdf · Voter ID No./ Aadhar Card No. Photo of bene-ficiary Yes/No

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Name of beneficiary Complete Address Age Sex Inocm

e

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d

Tavel

cost

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out-

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bene-

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under-taken

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Ration Card No./

Voter ID No./ Aadhar

Card No.

Photo of bene-

ficiary Yes/NoMobile

No. or

land line

number

with STD

Code**

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19

1RUDRAMADHABA

SAHOO

SIKOL JANKIA

KHURDA ODISHA1 M BPL _ 01.10.2018 10,000.00 100% 0 0

SERIAL

CASTING 10,000.00 NIL - Aadhar No. Collected - -

2 MOHAMAD ROUT

PADANPUR

JAGATSINGHPUR

ODISHA

1 Y M BPL _ 01.10.2018 10,000.00 100% 0 0SERIAL


3 TULUSI BISWAL 1 Y M BPL _ 01.10.2018 10,000.00 100% 0 0SERIAL


4 BIJAYARAM BHOIANLONIALI

CUTTACK ODISHA75 Y M BPL _ 01.10.2018 10,000.00 100% 0 0

SERIAL


5BADRI KUMAR

PRUSTY

SADAR CUTTACK

ODISHA9 Y M BPL _ 01.10.2018 10,000.00 100% 0 0

SERIAL


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- 2018 IN MINOR OT

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for

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Photo of bene-


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land line

number

with STD

Code**1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19

6 JAYPRAKASH BEHEA

TIRTOL

JAGATSNHGPUR

ODISHA

14 Y M BPL _ 01.10.2018 10,000.00 100% 0 0SERIAL


7 SRI SAMBIT 2 Y M BPL _ 03.10.2018 10,000.00 100% 0 0SERIAL


8 SIMARASIMA SAHOO 1 Y F BPL _ 03.10.2018 10,000.00 100% 0 0SERIAL


9 OM SHREE MALLICKNIALI CUTTACK

ODISHA6 Y M BPL _ 03.10.2018 10,000.00 100% 0 0

SERIAL


10 MALAYA SAHOO

DAMANA

BHUBANESWAR

KHURDA ODISHA

16 Y M BPL _ 03.10.2018 10,000.00 100% 0 0SERIAL


11 HARIHAR SWAINKAKATPUR PURI

ODISHA48 Y M BPL _ 03.10.2018 10,000.00 100% 0 0

SERIAL


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under-taken

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for

which

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Whether

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by

escort

Ration Card No./


Card No.

Photo of bene-


No. or

land line

number

with STD

Code**1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19

12 SAMITA JENA BOLANGIR ODISHA 3 Y F BPL _ 03.10.2018 10,000.00 100% 0 0SERIAL


13 JITENDRA MALLICKKAKATPUR PURI

ODISHA60 Y M BPL _ 03.10.2018 10,000.00 100% 0 0

SERIAL


14RANJAN KUMAR

SAHOO

NRUSINGHPUR


SERIAL


15 ANWESHA BAL 1 M F BPL _ 03.10.2018 10,000.00 100% 0 0SERIAL


16 ABHILIPSA NAYAKBRAHMAGIRI PURI

ODISHA28 D F BPL _ 03.10.2018 10,000.00 100% 0 0

SERIAL


17 SUBHANKAR MAJHI NAYAGARH ODISHA 6 M M BPL _ 03.10.2018 10,000.00 100% 0 0SERIAL


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under-taken

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for

which

stayed

Whether

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by

escort

Ration Card No./


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Photo of bene-


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land line

number

with STD

Code**1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19

18SOUMAYA RANAJAN

DAS

JAGATSINGHPUR

ODISHA2 Y M BPL _ 03.10.2018 10,000.00 100% 0 0

SERIAL


19SHARAT KUMAR

TOPPO8 Y M BPL _ 04.10.2018 10,000.00 100% 0 0

SERIAL


20 DEBARAJ GIRI 2 M M BPL _ 04.10.2018 10,000.00 100% 0 0SERIAL


21KRISHAN ABHHA

MANTRA1 M M BPL _ 04.10.2018 10,000.00 100% 0 0

SERIAL


22 PROUTIMAYEE OJHA 2 Y F BPL _ 04.10.2018 10,000.00 100% 0 0SERIAL


23 S K SOYATSUNAHAT

BALESWAR ODISHA4 M M BPL _ 04.10.2018 10,000.00 100% 0 0

SERIAL


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under-taken

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days

for

which

stayed

Whether

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by

escort

Ration Card No./


Card No.

Photo of bene-


No. or

land line

number

with STD

Code**1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19

24 DIPESH BEHERAGOVINDPUR

BALESWAR ODISHA2 M M BPL _ 04.10.2018 10,000.00 100% 0 0

SERIAL


25 MADAN SAHAWARD 2 NAJAHAN

BEGUSARI BIHAR48 Y M BPL _ 04.10.2018 10,000.00 100% 0 0

SERIAL


26 MAYADHAR BEHERABALIPATANA

KHURDA ODISHA38 Y M BPL _ 04.10.2018 10,000.00 100% 0 0

SERIAL


27PRAMOD KUMAR

MOHANTY

NUAPARI

JAGATSINGHPUR

ODISHA

58 Y M BPL _ 04.10.2018 10,000.00 100% 0 0SERIAL


28 ABADAL BHOI GOP PURI ODISHA 18 Y M BPL _ 04.10.2018 10,000.00 100% 0 0SERIAL


29 LAXMIPRIYA DAS 4 M F BPL _ 04.10.2018 10,000.00 100% 0 0SERIAL


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under-taken

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for

which

stayed

Whether

accom-

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by

escort

Ration Card No./


Card No.

Photo of bene-


No. or

land line

number

with STD

Code**1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19

30 PURNIMA MAJHI 67 Y F BPL _ 04.10.2018 10,000.00 100% 0 0SERIAL


31 BANITA PARIDA 42 Y F BPL _ 05.10.2018 10,000.00 100% 0 0SERIAL


32 GAOUTAM SINGHNUAGAON ITIPUR


SERIAL


33 SIKHA MUNDA 61 Y F BPL _ 05.10.2018 10,000.00 100% 0 0SERIAL


34 PRAVATI PATTSANI 40 Y F BPL _ 05.10.2018 10,000.00 100% 0 0SERIAL


35AJAY KUMAR

ROUTRAY

BALADA GANJAM

ODISHA62 Y M BPL _ 08.10.2018 10,000.00 100% 0 0

SERIAL


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s paid

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under-taken

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10+11+12+13

No. of

days

for

which

stayed

Whether

accom-

panied

by

escort

Ration Card No./


Card No.

Photo of bene-


No. or

land line

number

with STD

Code**1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19

36 MOHAMAD ANAS 1 Y M BPL _ 08.10.2018 10,000.00 100% 0 0SERIAL


37 SAHIL BHOI 5 Y M BPL _ 08.10.2018 10,000.00 100% 0 0SERIAL


38 KUTILA MUDULIBALIPATNA


SERIAL


39RUDRAAPRATAP

BARIK25 Y M BPL _ 08.10.2018 10,000.00 100% 0 0

SERIAL


40BISWA BIJAY

MALLICK

NIMAPADA PURI

ODISHA11 Y M BPL _ 08.10.2018 10,000.00 100% 0 0

SERIAL


41AYUSH KUMAR

JENA6 M M BPL _ 08.10.2018 10,000.00 100% 0 0

SERIAL


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under-taken

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for

which

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Whether

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by

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Ration Card No./


Card No.

Photo of bene-


No. or

land line

number

with STD

Code**1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19

42 BALA DASSISO SUDAR


SERIAL


43 SANTUNA BHOIGOVINDPUR


SERIAL


44SANATAN

MOHARANA

NIALI CUTTACK

ODISHA34 Y M BPL _ 08.10.2018 10,000.00 100% 0 0

SERIAL


45 URMILA PRAHARAJANLO NIALI

CUTTACK ODISHA54 Y F BPL _ 08.10.2018 10,000.00 100% 0 0

SERIAL


46 DEBASMITA JENA

PETAS

JAGATSINGHPUR

ODISHA

3 Y F BPL _ 09.10.2018 10,000.00 100% 0 0SERIAL


47 ADASHA DASGOVINDPUR


SERIAL


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bene-

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under-taken

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for

which

stayed

Whether

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by

escort

Ration Card No./


Card No.

Photo of bene-


No. or

land line

number

with STD

Code**1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19

48RAJKISHORE

BEHERA

KAKATPUR PURI

ODISHA28 Y M BPL _ 08.10.2018 10,000.00 100% 0 0

SERIAL


49 AMIR KHANBALIPATNA


SERIAL


50NARENDRA KUMAR

SAHOOBHADRAK ODISHA 7 Y M BPL _ 09.10.2018 10,000.00 100% 0 0

SERIAL


51 NIRANJAN PRADHANKAKATPUR PURI

ODISHA34 Y M BPL _ 09.10.2018 10,000.00 100% 0 0

SERIAL


52 BICHITRA KHUNTIADHENKANAL

ODISHA40 Y M BPL _ 09.10.2018 10,000.00 100% 0 0

SERIAL


53PRIYADARSHI

PRASAD DAS58 Y M BPL _ 09.10.2018 10,000.00 100% 0 0

SERIAL


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s paid

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under-taken

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10+11+12+13

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days

for

which

stayed

Whether

accom-

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by

escort

Ration Card No./


Card No.

Photo of bene-


No. or

land line

number

with STD

Code**1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19

54 PRINCE KARMI 4 Y M BPL _ 10.10.2018 10,000.00 100% 0 0SERIAL


55 ABHILIPSA NAYAK 1 Y F BPL _ 10.10.2018 10,000.00 100% 0 0SERIAL


56KIRANJEET

MOHAPTRA1 Y M BPL _ 10.10.2018 10,000.00 100% 0 0

SERIAL


57 ANSHU PAL 1 Y M BPL _ 10.10.2018 10,000.00 100% 0 0SERIAL


58 ABHAYA SWAIN NAYAGARH ODISHA 27 Y M BPL _ 10.10.2018 10,000.00 100% 0 0SERIAL


59 SUBRAT MAHALI 1 Y M BPL _ 10.10.2018 10,000.00 100% 0 0SERIAL


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bene-

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expense

s paid

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under-taken

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days

for

which

stayed

Whether

accom-

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by

escort

Ration Card No./


Card No.

Photo of bene-


No. or

land line

number

with STD

Code**1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19

60SIFUN KUMAR

SAHOO 18 Y M BPL _ 10.10.2018 10,000.00 100% 0 0

SERIAL


61S. PRATYUSHA

ROUT

NIALI CUTTACK

ODISHA21 Y F BPL _ 10.10.2018 10,000.00 100% 0 0

SERIAL


62BARUN KUMAR

SAHOO28 Y M BPL _ 11.10.2018 10,000.00 100% 0 0

SERIAL


63 RAMANANDA DAS 24 Y M BPL _ 11.10.2018 10,000.00 100% 0 0SERIAL


64 LIAKINA ACHRYA 1 Y M BPL _ 11.10.2018 10,000.00 100% 0 0SERIAL


65 S K SOYAF 4 Y M BPL _ 11.10.2018 10,000.00 100% 0 0SERIAL


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bene-

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expense

s paid

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under-taken

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10+11+12+13

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days

for

which

stayed

Whether

accom-

panied

by

escort

Ration Card No./


Card No.

Photo of bene-


No. or

land line

number

with STD

Code**1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19

66 MASUM KHANIMMT

BHUBANESWAR22 Y M BPL _ 11.10.2018 10,000.00 100% 0 0

SERIAL


67 DIPIKA KUMARISUNDARGARH

ODISHA12 Y F BPL _ 12.10.2018 10,000.00 100% 0 0

SERIAL


68 MANOJ BEHERAGOVINDPUR


SERIAL


69 BHGABAN PATRABALIPATNA


SERIAL


70SATYABHAMA

SAHOO

BALIANTA KHURDA

ODISHA55 Y F BPL _ 12.10.2018 10,000.00 100% 0 0

SERIAL


71 NABU BHOIBALIPATNA

KHURDA ODISHA78 Y F BPL _ 12.10.2018 10,000.00 100% 0 0

SERIAL


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provide

d

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cost

paid to

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bene-

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s paid

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under-taken

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10+11+12+13

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days

for

which

stayed

Whether

accom-

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by

escort

Ration Card No./


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Photo of bene-


No. or

land line

number

with STD

Code**1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19

72BIDYAPRABHA

SAHOONAYAGARH ODISHA 78 Y F BPL _ 12.10.2018 10,000.00 100% 0 0

SERIAL


73 SURYA NAYAK

ANTHUARI

BALIPATNA

KHORDA

25Y M BPL _ 15.10.2018 10,000.00 100% 0 0 POP CAST 10,000.00 NIL - Aadhar No. Collected - -

74 MANORANJAN DASNUABAZAR

CUTTACK25Y M BPL _ 15.10.2018 10,000.00 100% 0 0 POP CAST 10,000.00 NIL - Aadhar No. Collected - -

75 JHARANA BEHERABHUBULIPUR

NIMAPADA PURI6Y F BPL _ 15.10.2018 10,000.00 100% 0 0 POP CAST 10,000.00 NIL - Aadhar No. Collected - -

76RUDRA NARAYAN

BEHERA

RAMACHANDRAPU

R BBHINGARPUR

BALIANTA KHORDA

5Y M BPL _ 15.10.2018 10,000.00 100% 0 0 POP CAST 10,000.00 NIL - Aadhar No. Collected - -

77 PUSPA BHOI

URADHA

GOVINDPUR

CUTTACK

45Y F BPL _ 15.10.2018 10,000.00 100% 0 0SERIAL


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cost

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bene-

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expense

s paid

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surgical

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under-taken

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10+11+12+13

No. of

days

for

which

stayed

Whether

accom-

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by

escort

Ration Card No./


Card No.

Photo of bene-


No. or

land line

number

with STD

Code**1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19

78 DIPESH BEHERA 2Y M BPL _ 15.10.2018 10,000.00 100% 0 0SERIAL


79 GUDU JENAALICHERA GOP

PURI1M M BPL _ 15.10.2018 10,000.00 100% 0 0

SERIAL


80 SISIR KUMAR SAHOONIALI CUTTACK

ODISHA47 Y M BPL _ 15.10.2018 10,000.00 100% 0 0

SERIAL


81 RITANJALI MUSHAHIBALIPATANA


SERIAL


82 DHARANIDHAR DASBAIROI CUTTUCK

ODISHA14 Y M BPL _ 15.10.2018 10,000.00 100% 0 0

SERIAL


83 SIRI BEHERAKAKATPUR PURI

ODISHA45 Y F BPL _ 15.10.2018 10,000.00 100% 0 0

SERIAL


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bene-

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s paid

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under-taken

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days

for

which

stayed

Whether

accom-

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by

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Ration Card No./


Card No.

Photo of bene-


No. or

land line

number

with STD

Code**1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19

84 LIYANA 1 M F BPL _ 16.10.2018 10,000.00 100% 0 0SERIAL


85 KALIKA PAIKARAY 75 Y F BPL _ 16.10.2018 10,000.00 100% 0 0SERIAL


86 MAJIDA KHATUN 8 Y F BPL _ 16.10.2018 10,000.00 100% 0 0SERIAL


87BANSHIDHAR

PRUSTY33 y M BPL _ 16.10.2018 10,000.00 100% 0 0

SERIAL


88 BENU DALUA 60 Y M BPL _ 16.10.2018 10,000.00 100% 0 0SERIAL


89 RABINDRA SENAPATI 65 Y M BPL _ 16.10.2018 10,000.00 100% 0 0SERIAL


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including fabri-

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charges

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provide

d

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cost

paid to

out-

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bene-

ficiary

Boardin

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lodging

expense

s paid

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surgical

correction

under-taken

Total

10+11+12+13

No. of

days

for

which

stayed

Whether

accom-

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by

escort

Ration Card No./


Card No.

Photo of bene-


No. or

land line

number

with STD

Code**1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19

90KRUSHNA CHANDRA

SAHOO4 Y M BPL _ 17.10.2018 10,000.00 100% 0 0

SERIAL


91 PRAMOD BHOI 60 Y M BPL _ 17.10.2018 10,000.00 100% 0 0SERIAL


92 SAMBIT JENA 8 Y M BPL _ 17.10.2018 10,000.00 100% 0 0SERIAL


93NARENDRA KUMAR

SAHOO7 Y M BPL _ 17.10.2018 10,000.00 100% 0 0

SERIAL


94 SUHANA PRADHAN 65 Y F BPL _ 17.10.2018 10,000.00 100% 0 0SERIAL


95 ITIRANI BHOI 65 Y F BPL _ 22.10.2018 10,000.00 100% 0 0SERIAL


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of Aid

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given

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including fabri-

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Subsidy

provide

d

Tavel

cost

paid to

out-

station

bene-

ficiary

Boardin

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lodging

expense

s paid

Whether any

surgical

correction

under-taken

Total

10+11+12+13

No. of

days

for

which

stayed

Whether

accom-

panied

by

escort

Ration Card No./


Card No.

Photo of bene-


No. or

land line

number

with STD

Code**1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19

96 MOHAMAD ANUS 1 M M BPL _ 22.10.2018 10,000.00 100% 0 0SERIAL


97 SHRIANSHU NAYAK 9 Y M BPL _ 22.10.2018 10,000.00 100% 0 0SERIAL


98 SHRIKANT SAHOO 9 Y M BPL _ 22.10.2018 10,000.00 100% 0 0SERIAL


99 BISWAJIT MALLICK CUTTACK ODISHA 1 M M BPL _ 22.10.2018 10,000.00 100% 0 0SERIAL


100 B PATRA 65 Y M BPL _ 22.10.2018 10,000.00 100% 0 0SERIAL


101 NALIN BHOI 78 Y F BPL _ 22.10.2018 10,000.00 100% 0 0SERIAL


17 of 17

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e

Type

of Aid

Given

Date on which

given

Total cost of aid

including fabri-

cation/ fitment

charges

Subsidy

provide

d

Tavel

cost

paid to

out-

station

bene-

ficiary

Boardin

g and

lodging

expense

s paid

Whether any

surgical

correction

under-taken

Total

10+11+12+13

No. of

days

for

which

stayed

Whether

accom-

panied

by

escort

Ration Card No./


Card No.

Photo of bene-


No. or

land line

number

with STD

Code**1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19

102 PARAMANI SAHOOOBALIPATNA


SERIAL


103 MAHESH MALLICK 5 M M BPL _ 22.10.2018 10,000.00 100% 0 0SERIAL


104LAXMAN NARAYAN

SINGHNIHAGUDI ODISHA 3 M M BPL _ 22.10.2018 10,000.00 100% 0 0

SERIAL


105OM PROKASH

SUBHUDHI

KAHADI KHURDA

ODISHA15 D M BPL _ 22.10.2018 10,000.00 100% 0 0

SERIAL


106 JAMARANI MALLICK GOP PURI ODISHA 80 Y F BPL _ 22.10.2018 10,000.00 100% 0 0SERIAL


107 S ALI SA 2 M M BPL _ 22.10.2018 10,000.00 100% 0 0SERIAL


18 of 18

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e

Type

of Aid

Given

Date on which

given

Total cost of aid

including fabri-

cation/ fitment

charges

Subsidy

provide

d

Tavel

cost

paid to

out-

station

bene-

ficiary

Boardin

g and

lodging

expense

s paid

Whether any

surgical

correction

under-taken

Total

10+11+12+13

No. of

days

for

which

stayed

Whether

accom-

panied

by

escort

Ration Card No./


Card No.

Photo of bene-


No. or

land line

number

with STD

Code**1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19

108 BEAUTY MALLICKBALIANTA KHURDA

ODISHA5 Y F BPL _ 22.10.2018 10,000.00 100% 0 0

SERIAL


109 TRINATH BASTIA 10 Y M BPL _ 22.10.2018 10,000.00 100% 0 0SERIAL


110 KHIROD MALLICK 5 M M BPL _ 23.10.2018 10,000.00 100% 0 0SERIAL


111 AMAR KHATUN GOVINDPUR ODISHA 35 Y M BPL _ 23.10.2018 10,000.00 100% 0 0SERIAL


112 PRATYUSHA BARIK 14 Y M BPL _ 23.10.2018 10,000.00 100% 0 0SERIAL


113 CHIRANJIT BARIK 2 M M BPL _ 23.10.2018 10,000.00 100% 0 0SERIAL


19 of 19

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e

Type

of Aid

Given

Date on which

given

Total cost of aid

including fabri-

cation/ fitment

charges

Subsidy

provide

d

Tavel

cost

paid to

out-

station

bene-

ficiary

Boardin

g and

lodging

expense

s paid

Whether any

surgical

correction

under-taken

Total

10+11+12+13

No. of

days

for

which

stayed

Whether

accom-

panied

by

escort

Ration Card No./


Card No.

Photo of bene-


No. or

land line

number

with STD

Code**1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19

114 ABHAYA SWAIN 1 Y M BPL _ 23.10.2018 10,000.00 100% 0 0SERIAL


115 PRATYUSHA BARIK 14 Y M BPL _ 23.10.2018 10,000.00 100% 0 0SERIAL


116KIRANJIT

MOHAPATRA1 Y M BPL _ 24.10.2018 10,000.00 100% 0 0

SERIAL


117 ASHIS BEHERABALIANTA KHURDA

ODISHA27 Y M BPL _ 24.10.2018 10,000.00 100% 0 0

SERIAL


118 ANKUL KUMAR 15 Y M BPL _ 24.10.2018 10,000.00 100% 0 0SERIAL


119 LINKINA ACHARYA 1 Y F BPL _ 24.10.2018 10,000.00 100% 0 0SERIAL


20 of 20

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NO.


e

Type

of Aid

Given

Date on which

given

Total cost of aid

including fabri-

cation/ fitment

charges

Subsidy

provide

d

Tavel

cost

paid to

out-

station

bene-

ficiary

Boardin

g and

lodging

expense

s paid

Whether any

surgical

correction

under-taken

Total

10+11+12+13

No. of

days

for

which

stayed

Whether

accom-

panied

by

escort

Ration Card No./


Card No.

Photo of bene-


No. or

land line

number

with STD

Code**1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19

120 SATYAJIT BARIK 1 Y M BPL _ 24.10.2018 10,000.00 100% 0 0SERIAL


121 RABINDRA PRADHAN 59 Y M BPL _ 24.10.2018 10,000.00 100% 0 0SERIAL


122 ARCHANA SWAINNIMAPADA PURI

ODISHA55 Y F BPL _ 25.10.2018 10,000.00 100% 0 0

SERIAL


123 ABHIMAYEE NAYAK 1 M F BPL _ 25.10.2018 10,000.00 100% 0 0SERIAL


124 PRATYANSHU ROUT 24 Y F BPL _ 25.10.2018 10,000.00 100% 0 0SERIAL


125 BANITA SWAIN 3 Y F BPL _ 25.10.2018 10,000.00 100% 0 0SERIAL


21 of 21

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e

Type

of Aid

Given

Date on which

given

Total cost of aid

including fabri-

cation/ fitment

charges

Subsidy

provide

d

Tavel

cost

paid to

out-

station

bene-

ficiary

Boardin

g and

lodging

expense

s paid

Whether any

surgical

correction

under-taken

Total

10+11+12+13

No. of

days

for

which

stayed

Whether

accom-

panied

by

escort

Ration Card No./


Card No.

Photo of bene-


No. or

land line

number

with STD

Code**1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19

126 PRATIMA OJHA 1 Y F BPL _ 25.10.2018 10,000.00 100% 0 0SERIAL


127 SASMIT BISWAL 3 Y F BPL _ 25.10.2018 10,000.00 100% 0 0SERIAL


128 ABHILIPSA NAYAK 1 Y F BPL _ 25.10.2018 10,000.00 100% 0 0SERIAL


129 AYUSH KUMAR JENA 6 Y M BPL _ 25.10.2018 10,000.00 100% 0 0SERIAL


130 ISWAR GOCHAYATKAKATPUR PURI

ODISHA15 Y M BPL _ 25.10.2018 10,000.00 100% 0 0

SERIAL


131 JAGANTH BEHERA 3 Y M BPL _ 25.10.2018 10,000.00 100% 0 0SERIAL


22 of 22

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NO.


e

Type

of Aid

Given

Date on which

given

Total cost of aid

including fabri-

cation/ fitment

charges

Subsidy

provide

d

Tavel

cost

paid to

out-

station

bene-

ficiary

Boardin

g and

lodging

expense

s paid

Whether any

surgical

correction

under-taken

Total

10+11+12+13

No. of

days

for

which

stayed

Whether

accom-

panied

by

escort

Ration Card No./


Card No.

Photo of bene-


No. or

land line

number

with STD

Code**1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19

132GOLOK CHANDRA

NAYAKCUTTACK ODISHA 6 Y M BPL _ 25.10.2018 10,000.00 100% 0 0

SERIAL


133 CHHETA GURU 60 Y M BPL _ 25.10.2018 10,000.00 100% 0 0SERIAL


134 NIRMALA ROUT GOP PURI ODISHA 35 Y M BPL _ 25.10.2018 10,000.00 100% 0 0SERIAL


135SARALA CHADRA

DHALCUUTACK ODISHA 60 Y F BPL _ 25.10.2018 10,000.00 100% 0 0

SERIAL


136 MD KHIJAR KASIM 80 Y M BPL _ 25.10.2018 10,000.00 100% 0 0SERIAL


137 SASHIPRAVA JENA BHADRAK ODISHA 13 Y F BPL _ 25.10.2018 10,000.00 100% 0 0SERIAL


23 of 23

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e

Type

of Aid

Given

Date on which

given

Total cost of aid

including fabri-

cation/ fitment

charges

Subsidy

provide

d

Tavel

cost

paid to

out-

station

bene-

ficiary

Boardin

g and

lodging

expense

s paid

Whether any

surgical

correction

under-taken

Total

10+11+12+13

No. of

days

for

which

stayed

Whether

accom-

panied

by

escort

Ration Card No./


Card No.

Photo of bene-


No. or

land line

number

with STD

Code**1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19

138 AJAYA BEHERA 38 Y M BPL _ 25.10.2018 10,000.00 100% 0 0SERIAL


139SATYAPRAKASH

JENA

JAGATSINGHPUR

ODISHA27 Y M BPL _ 25.10.2018 10,000.00 100% 0 0

SERIAL


140 ITISHREE BARIKCHANDRSEKHARPU

R KHURDA ODISHA21 Y F BPL _ 29.10.2018 10,000.00 100% 0 0

SERIAL


141 ANKSHAYA NAYAKBALIPATNA


SERIAL


142 GOAURAV MUDULIJAGATSINGHPUR

ODISHA45 Y M BPL _ 29.10.2018 10,000.00 100% 0 0

SERIAL


143 PRINCE KARMI 4 M M BPL _ 29.10.2018 10,000.00 100% 0 0SERIAL


144 RANKU SAHOO NAYAGARH ODISHA26 Y M BPL _ 29.10.2018 10,000.00 100% 0 0SERIAL


24 of 24

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e

Type

of Aid

Given

Date on which

given

Total cost of aid

including fabri-

cation/ fitment

charges

Subsidy

provide

d

Tavel

cost

paid to

out-

station

bene-

ficiary

Boardin

g and

lodging

expense

s paid

Whether any

surgical

correction

under-taken

Total

10+11+12+13

No. of

days

for

which

stayed

Whether

accom-

panied

by

escort

Ration Card No./


Card No.

Photo of bene-


No. or

land line

number

with STD

Code**1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19

145 MOM ANAS 1 M M BPL _ 29.10.2018 10,000.00 100% 0 0SERIAL


146 DIBYANSHU SAHOOJAGATPUR 24 D M BPL _ 29.10.2018 10,000.00 100% 0 0SERIAL


147 PRAMILA SAHOO NIALI CUTTACK ODISHA55 Y F BPL _ 29.10.2018 10,000.00 100% 0 0SERIAL


148 KANHU CHARAN SWAINGANJAM ODISHA 24 Y M BPL _ 29.10.2018 10,000.00 100% 0 0SERIAL


149 BASANTA PARIDA NIMAPADA PURI ODISHA24 Y M BPL _ 29.10.2018 10,000.00 100% 0 0SERIAL


150 DEBASMITA JENA 3 Y F BPL _ 29.10.2018 10,000.00 100% 0 0SERIAL


25 of 25

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e

Type

of Aid

Given

Date on which

given

Total cost of aid

including fabri-

cation/ fitment

charges

Subsidy

provide

d

Tavel

cost

paid to

out-

station

bene-

ficiary

Boardin

g and

lodging

expense

s paid

Whether any

surgical

correction

under-taken

Total

10+11+12+13

No. of

days

for

which

stayed

Whether

accom-

panied

by

escort

Ration Card No./


Card No.

Photo of bene-


No. or

land line

number

with STD

Code**1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19

151 SONASHREE BEHERA 3 Y F BPL _ 29.10.2018 10,000.00 100% 0 0SERIAL


152 SANJIT NAYAK 5 Y M BPL _ 29.10.2018 10,000.00 100% 0 0SERIAL


153 SAIRUN NISHA 25 Y F BPL _ 29.10.2018 10,000.00 100% 0 0SERIAL


154 ASHIRBAD BEHERA 7 Y M BPL _ 29.10.2018 10,000.00 100% 0 0SERIAL


155 BISWNATH PANIGRAHI 31 Y M BPL _ 29.10.2018 10,000.00 100% 0 0SERIAL


156 BINAYAK MAHANANDA 31 Y M BPL _ 29.10.2018 10,000.00 100% 0 0SERIAL


26 of 26

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e

Type

of Aid

Given

Date on which

given

Total cost of aid

including fabri-

cation/ fitment

charges

Subsidy

provide

d

Tavel

cost

paid to

out-

station

bene-

ficiary

Boardin

g and

lodging

expense

s paid

Whether any

surgical

correction

under-taken

Total

10+11+12+13

No. of

days

for

which

stayed

Whether

accom-

panied

by

escort

Ration Card No./


Card No.

Photo of bene-


No. or

land line

number

with STD

Code**1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19

157 JYOSHNA SAHOO 4 Y F BPL _ 29.10.2018 10,000.00 100% 0 0SERIAL


158 K HARI BALA 4 Y M BPL _ 29.10.2018 10,000.00 100% 0 0SERIAL


159 KIRAN PRADHAN 13 Y M BPL _ 29.10.2018 10,000.00 100% 0 0SERIAL


160 AYUSMAN BISWAL 2 M M BPL _ 30.10.2018 10,000.00 100% 0 0SERIAL


161 DIPESH BEHERA 24 Y M BPL _ 30.10.2018 10,000.00 100% 0 0SERIAL


162 RUPA PAIDAR MELAK PURI ODISHA49 Y M BPL _ 30.10.2018 10,000.00 100% 0 0SERIAL


163 GUDU JENA 1 M M BPL _ 30.10.2018 10,000.00 100% 0 0SERIAL


27 of 27

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e

Type

of Aid

Given

Date on which

given

Total cost of aid

including fabri-

cation/ fitment

charges

Subsidy

provide

d

Tavel

cost

paid to

out-

station

bene-

ficiary

Boardin

g and

lodging

expense

s paid

Whether any

surgical

correction

under-taken

Total

10+11+12+13

No. of

days

for

which

stayed

Whether

accom-

panied

by

escort

Ration Card No./


Card No.

Photo of bene-


No. or

land line

number

with STD

Code**1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19

164 SHREEYASHITI SWASTIJAGATSINGHPUR ODISHA1 M M BPL _ 30.10.2018 10,000.00 100% 0 0SERIAL


165 BIJAYALAXMI MOHAPATRANIMAPADA PURI ODISHA42 Y F BPL _ 30.10.2018 10,000.00 100% 0 0SERIAL


166 RAMMU MURMU PATRAKONA CUTTACK ODISHA11 Y M BPL _ 30.10.2018 10,000.00 100% 0 0SERIAL


167 MONOROMA DAS SADAR CUTTACK ODISHA39 Y F BPL _ 30.10.2018 10,000.00 100% 0 0SERIAL


168 SUBHAM MANDAL 6 M M BPL _ 30.10.2018 10,000.00 100% 0 0SERIAL


169 PRIYANSHU MANGARAJBEGUNNIA KHURDA ODISHA6 M M BPL _ 30.10.2018 10,000.00 100% 0 0SERIAL


170 LAXMI NARAYAN SINGH 3 M M BPL _ 30.10.2018 10,000.00 100% 0 0SERIAL


171 BISWAJIT MALLICK 1 M M BPL _ 30.10.2018 10,000.00 100% 0 0SERIAL


28 of 28

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e

Type

of Aid

Given

Date on which

given

Total cost of aid

including fabri-

cation/ fitment

charges

Subsidy

provide

d

Tavel

cost

paid to

out-

station

bene-

ficiary

Boardin

g and

lodging

expense

s paid

Whether any

surgical

correction

under-taken

Total

10+11+12+13

No. of

days

for

which

stayed

Whether

accom-

panied

by

escort

Ration Card No./


Card No.

Photo of bene-


No. or

land line

number

with STD

Code**1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19

172 SHREYANSHU BADATIYA 1 M M BPL _ 30.10.2018 10,000.00 100% 0 0SERIAL


173 SUNIL KUMAR PAL 31 M M BPL _ 30.10.2018 10,000.00 100% 0 0SERIAL


174 NARENDRA KU SAHOO 7 Y M BPL _ 30.10.2018 10,000.00 100% 0 0SERIAL


175 RAJ ROUT 81 Y M BPL _ 30.10.2018 10,000.00 100% 0 0SERIAL


17,50,000.00 17,50,000.00 TOTAL…

29 of 29

Documents

SWAMI VIVEKANAND NATIONAL INSTITUTE OF …svnirtar.nic.in/sites/default/files/patients_list_adip_pmr/Minor_OT_OCT_18.pdf · Voter ID No./ Aadhar Card No. Photo of bene-ficiary Yes/No