3 2 1 SL.NO DILIP MUKHERJEE CHANDU DULACHANDU GOUR KUNDUGOUR

Name of beneficiary - 722144 , AGARDA, GOPINATHPUR, C/O - ASWINI PURUSOTTAMPUR, KUNDU, - 722122 GOKULNAGAR, BANKURA, WEST BENGAL C/O - SWAPAN DULA, HIRAPUR, 722122 BANKURA, WESTJAYPUR, BENGAL - C/O -MUKHERJEE, SALDA, MADAN : , BANKURA NAME CAMP DT- 04.11.2019

Complete Address 44 36 56 Age M M M M/F OTH SC ST Caste 1000 2000 1000 Income TRICYCLE + TRICYCLE + CRUTCH - II CRUTCH -II AXILLARY AIDS (S) + AIDS (S) HEARING HEARING BATTERY ELBOW (P) (P) Type of aid(given) 04.11.2019 04.11.2019 04.11.2019

Date on Which (given) 8400 8400 8400 8400 3340 1988 1988 + + Total Cost of aid,including Fabrication/Fitment charges 100% 100% 100% Subsidy provided

Travel cost paid to outstation beneficiary Board and lodging expenses paid Whether any surgical correction undertaken 8400 8400 8400 8400 3340 1988 1988 + + Total of 10+11+12+13

No of days for which stayed Whether accomanied by escort YES YES YES Photo of beneficiary*/ Aadhaar available 8695466628 9434590358 7602181843

Mobile No. or lan d line number with STD Code** C/O - BALAI DEY, AGARDA, 4 NARAYAN DEY PURUSOTTAMPUR, BANKURA, WEST 31 M OTH 1500 TRICYCLE 04.11.2019 8400 100% 8400 YES 9564422828 BENGAL - 722144

C/O - ERSAD ALI BAYEN, BAMUNBANDH, WHEEL 5 JAHUR BAYEN KHARKATA, JIYABANDI, BISHNUPUR, 65 M OTH 1000 04.11.2019 7400 100% 7400 YES 8768480259 CHAIR BANKURA, WEST BENGAL - 722164

TRICYCLE + C/O - SAHAJAHAN KHAN, SARISHDIGHI, 8400 8400 AXILLARY 6 ABDUL RASID KHAN KOTULPUR, BANKURA, WEST BENGAL - M 50 OTH 3000 04.11.2019 + 100% + YES 8768104931 CRUTCH -III 722141 2138 2138 (P)

WHEEL C/O - BAIDYANATH DE, CHAIR + 7 SANJAY DE , KOTULPUR, 42 M OTH 1000 ELBOW 04.11.2019 8394 100% 8394 YES 9382703742 BANKURA, WEST BENGAL - 722141 CRUTCH - II (S)

TRICYCLE + C/O - RABIPAD ROY, SAINDA, 8400 8400 AXILLARY 8 GORACHAND ROY SHYAMNAGAR, BANKURA, WEST BENGAL 54 M OTH 3000 04.11.2019 + 100% + YES 9800106969 CRUTCH -III - 722138 2138 2138 (P)

TRICYCLE + C/O - SAHAJAN KHA, MAMRUCHAK, 8400 8400 ABDUL RAFIQUE AXILLARY 9 SARISHADIGHI, KOTULPUR, BANKURA, 53 M OTH 1500 04.11.2019 + 100% + YES 9550920332 KHA CRUTCH -II WEST BENGAL - 722141 1988 1988 (P)

TRICYCLE + C/O - MEHER ALI KHAN, KOTULPUR, 8400 8400 ABDUL RAMJAN AXILLARY 10 SARISHADIGHI, BANKURA, WEST BENGAL 53 M OBC 3000 04.11.2019 + 100% + YES 9647319357 KHAN CRUTCH -II - 722141 1988 1988 (P) C/O - MOZAKKAR KHAN, SALUKGERE, WHEEL 11 RUPSHA KHATUN BALITHA, KOTULPUR, BANKURA, WEST 42 F OTH 1000 04.11.2019 7400 100% 7400 YES 9732371492 CHAIR BENGAL - 722141

C/O - JOHAD ALI KHAH, BANMIKHA, 12 ABBAD RAHIM KHA DEHUAPARA, KOTULPUR, BANKURA, 56 M OBC 1000 TRICYCLE 04.11.2019 8400 100% 8400 YES 7584805840 WEST BENGAL - 722141

ELBOW C/O - BIJOY SEN, DESHRA, KOTULPUR, 13 DEBASHISH SEN 43 M OTH 3333 CRUTCH -II 04.11.2019 1988 100% 1988 YES 9933694376 BANKURA, WEST BENGAL - 722141 (P)

TRICYCLE + C/O - PACHU KHAN, DEOPARA, ENAYEL 8400 8400 AXILLARY 14 KAJEM ALI KHAN CHAK, DEHUAPARA, KOTULPUR, 56 M OTH 1500 04.11.2019 + 100% + YES 8695109501 CRUTCH -II BANKURA, WEST BENGAL - 722141 1988 1988 (P)

WHEEL C/O - JAHUR BAYEN, BAMUNBANDH, CHAIR + 15 ASPIYA KHATUN JIABANDI, KHARKATA, BANKURA, WEST 54 F OTH 1000 ELBOW 04.11.2019 9388 100% 9388 YES 8768480259 BENGAL - 722164 CRUTCH - II (P)

TRICYCLE + C/O - BIBHUTI NANDI, AGARDA, 8400 8400 AXILLARY 16 PATITPABAN NANDI PURUSOTTAMPUR, BANKURA, WEST 42 M OTH 1000 04.11.2019 + 100% + YES 9800545844 CRUTCH -II BENGAL - 722144 1988 1988 (P)

C/O - NITAI DAS, KOPA, BANKURA, 17 ARUP KUMAR DAS MADANMOHANPUR, WEST BENGAL - 39 M SC 1200 TRICYCLE 04.11.2019 8400 100% 8400 YES 8158083170 722141 C/O - BAIDYANATH MONDAL, HEARING 18 TARUN MONDAL KUCHIAKOL, BANKURA, WEST BENGAL - 45 M OTH 1200 AIDS (S) + 04.11.2019 3340 100% 3340 YES 9732191219 722138 BATTERY

C/O - CHITTARANJAN NANDI, HEARING 19 MUKTA NANDI KUCHLAKOLE, JAYPUR, BANKURA, WEST 62 F OTH 1200 AIDS (S) + 04.11.2019 3340 100% 3340 YES 9635637283 BENGAL - 722138 BATTERY

C/O - CHITTARANJAN NANDI, HEARING 20 AMIYA NANDI KUCHLAKOLE, JAYPUR, BANKURA, WEST 47 M OTH 1000 AIDS (S) + 04.11.2019 3340 100% 3340 YES 9635637283 BENGAL - 722138 BATTERY

C/O - TARAK NATH NANDI, BELIA, WHEEL 21 ANKAN NANDI BELIADANGAPARA, JAYPUR, BANKURA, 5 M OTH 1200 04.11.2019 7400 100% 7400 YES 9775738695 CHAIR WEST BENGAL - 722122

C/O - SATYABAN GOSWAMI, WHEEL 22 JHUMA GOSWAMI GOSWAMIBAZAR, DARAPUR, BANKURA, 25 F OTH 5000 04.11.2019 7400 100% 7400 YES 9679605086 CHAIR WEST BENGAL - 722141

TRICYCLE + 8400 8400 C/O - RAMRENU MONDAL, ASHURALI, AXILLARY 23 AJIT MONDAL 67 M OTH 1200 04.11.2019 + 100% + YES 9564704951 BANKURA, WEST BENGAL - 722154 CRUTCH -II 1988 1988 (P)

C/O - CHANDI CHARAN PRATIHAR, 24 JITEN PRATIHAR JAGANNATHPUR, MAGURA, BANKURA, 45 M OTH 3000 TRICYCLE 04.11.2019 8400 100% 8400 YES 8372850797 WEST BENGAL - 722138 C/O - BANGSHIBADAN DEY, , HEARING 25 DILIP DEY JAYPUR, BANKURA, WEST BENGAL - 33 M OTH 1250 AIDS (S) + 04.11.2019 3340 100% 3340 YES 9609838094 722138 BATTERY

TRICYCLE + C/O - SK RABIYAL ALI, KOTLPUR, AXILLARY 26 HASMAT ALI SEKH SARISHADIGHI, BANKURA, WEST BENGAL 34 M OBC 1500 04.11.2019 9394 100% 9394 YES 8372892175 CRUTCH -II - 722141 (S)

WHEEL CHAIR + C/O - DILIP ROY, MAJI PUSHKARINI, 27 SUJATA ROY 23 F SC ELBOW 04.11.2019 8394 100% 8394 YES 9647597014 BANKURA, WEST BENGAL - 722141 CRUTCH - II (S)

C/O - PASUPATI SHIT, BELIA, BANKURA, 28 ADITYA SHIT BELIADANGAPARA, WEST BENGAL - 49 M OTH 1200 TRICYCLE 04.11.2019 8400 100% 8400 YES 9800034755 722122

C/O - LALTU RUIDAS, , 29 PRADIP RUIDAS KOTULPUR, BANKURA, WEST BENGAL - 14 M SC 3500 TRICYCLE 04.11.2019 8400 100% 8400 YES 8642822309 722141

TRICYCLE + 8400 8400 C/O - SUKUMAR ROY, LEGO, BANKURA, AXILLARY 30 SUMANTA ROY 31 M SC 1200 04.11.2019 + 100% + YES 9609914101 WEST BENGAL - 722141 CRUTCH -II 1988 1988 (P)

C/O - KASEM KHAN, SARISHADIGHI, WHEEL 31 SABEDAR KHAN KOTULPUR, BANKURA, WEST BENGAL - 43 M OTH 3000 04.11.2019 7400 100% 7400 YES 8444985078 CHAIR 722141 C/O - TAPAN ROY, TANADIGHI, HEARING 32 JOYDEV ROY KARAKBERIA, SADHUADAL, BANKURA, 35 M SC 1200 AIDS (S) + 04.11.2019 3340 100% 3340 YES 8016267865 WEST BENGAL - 722154 BATTERY

C/O - UDAY MONDAL, GOPINATHPUR, WHEEL 33 SUBRATA MONDAL 14 M OTH 1500 04.11.2019 7400 100% 7400 YES 9474724341 BANKURA, WEST BENGAL - 722161 CHAIR

C/O - SUSANTA KUNDU, SUPUR, HEARING 34 ANKITA KUNDU RAHAGRAM, JAYPUR, BANKURA, WEST 9 F OTH 1500 AIDS (V) + 04.11.2019 6680 100% 6680 YES 9434581718 BENGAL - 722122 BATTERY

C/O - GOBARDDHAN ARI, DEOPARA, 35 BIKASH ARI ENAYEL CHAK, DEHUAPARA, KOTULPUR, 31 M SC 1500 TRICYCLE 04.11.2019 8400 100% 8400 YES 9083084620 BANKURA, WEST BENGAL - 722141

MANDIRA C/O - BULBL MUKHERJEE, KUSHMURI, WHEEL 36 13 F OTH 1500 04.11.2019 7400 100% 7400 YES 9474929640 MUKHERJEE , BANKURA, WEST BENGAL - 722205 CHAIR

C/O - SHAMBHU ROY, NANDIGRAMI PARA, WHEEL 37 PRANATI RANI ROY BALITHA, BANKURA, WEST BENGAL - 53 F OTH 1000 04.11.2019 7400 100% 7400 YES 9434439359 CHAIR 722141

TRICYCLE + C/O - SUBAL HATI, MADANMOHANPUR, AXILLARY 38 DIBAKAR HATI KOTULPUR, BISHNUPUR, BANKURA, WEST 49 M SC 1000 04.11.2019 9419 100% 9419 YES 9434590358 CRUTCH -III BENGAL (S) TRICYCLE + BADARUDDIN C/O - NIYAMAT MONDAL, MATIARI, AXILLARY 39 73 M OTH 1000 04.11.2019 9419 100% 9419 YES 9635650591 MONDAL KOTULPUR, WEST BENGAL - 722141 CRUTCH -III (S)

TRICYCLE + C/O - MATILAL CHANDRA, BANIKPARA, AXILLARY 40 DILIP CHANDRA KOTULPUR, BANKURA, WEST BENGAL - 57 M OTH 1000 04.11.2019 9394 100% 9394 YES 9434652210 CRUTCH -II 722141 (S)

TRICYCLE + C/O - BALAI SANTRA, GOBINDAPUR, KUSH KUMAR ELBOW 41 KANKATABATI, KOTULPUR, BANKURA, 47 M SC 1000 04.11.2019 9394 100% 9394 YES 8348409090 SANTRA CRUTCH - II WEST BENGAL - 722141 (S)