SWAMI VIVEKANAND NATIONAL INSTITUTE OF REHABILITATION TRAINING AND RESEARCH OLATPUR,BAIRIOI, () LIST OF PATIENTS (ADIP CASES) FOR THE MONTH OF JULY 2018 Month: Jul-18 wheth Num wheth Total cost of er any ber Mobile er Mal Aid Subsi Travel cost Board and surgic of Ration Card No. or SL. Income Date on Total of acco Name of Complete Ag e/F including dy paid to lodging al Days No./Voter ID land line NO (PER Type of Aid (given) which 10+11+12+1 mpani Photo of Beneficiary beneficiary Address e em fabrication/fi Provi outstation expenses correc for No./Aadhar number . ANUM) given 3 ed by ale tment ded beneficiary paid tion whic card Nol. with STD escor charges undert h Code** t aken stay 1 2 3 4 5 6 7 8 9 10 11 12 13 14 ed15 16 17 18 19 C/O - BADRI Aadhar No. NARAYAN Collected MOHARANA AT LT. PP AFO WITH SOFT BISWAJIT 1 BALAPUR PS 13Y M 45000 LINING AND PAIR OF 350.00 100% 0 0 0 350.00 0 No - MOHARANA SATYBADI DIST

SANDLE SPP 09.07.18

PURI 7788992253

C/O- SHANKAR Aadhar No. GHOSH AT Collected BEDARBAD MALDA TAYLORS BRACE AND 2 ASISH GHOSE PS BISVAB NAGAR , 16Y M 12000 MOULDED CERIVIAL 1,700.00 100% 0 0 0 1,700.00 0 No - DIST MADA

COLLOR 04.07.18 7477842063

AT /PO Aadhar No. JHADESWARPUR PS LT. T.F PROSTHESIS Collected MAHANGA DIST WITH FOUR BAR MAHESWAR 3 CUTTACK 38Y M 42000 LINKAGE KNEE JT. AND 7,510.00 100% 200 1500 0 9,210.00 0 No - MOHANTY

RANGER FOOT AND 03.07.18

PAIR OF SHOE 7077737097

AT UTTARANA PO Aadhar No. UTTARANA PS Collected GOVINDPUR DIST PAIR OF SANDLE WITH MODIFIED EQUANOUS 4 SUDAM CH. DIXIT CUTTACK 53Y M 42000 885.00 100% 0 0 0 885.00 0 No - COMP ON RT. SIDE

APPROXE 2 01.06.18 9438206269

AT RATHIPUR JATNI Aadhar No. PO KANTIA PS LT. T.T. PROSTHESIS Collected DIST WITH RANGER FOOT PRASANT KU. AND PAIR OF LANCER 5 KHURDA 28Y M 18000 5,520.00 100% 0 0 0 5,520.00 0 No - BEBARTA SHOES AND RT. PARTIAL

FOOT PROSTHESIS 11.06.18 9937439251 WITH PAIR OF SHOE

Page 1 of 12 wheth Num wheth Total cost of er any ber Mobile er Mal Aid Subsi Travel cost Board and surgic of Ration Card No. or SL. Income Date on Total of acco Name of Complete Ag e/F including dy paid to lodging al Days No./Voter ID land line NO (PER Type of Aid (given) which 10+11+12+1 mpani Photo of Beneficiary beneficiary Address e em fabrication/fi Provi outstation expenses correc for No./Aadhar number . ANUM) given 3 ed by ale tment ded beneficiary paid tion whic card Nol. with STD escor charges undert h Code** t aken stay 1 2 3 4 5 6 7 8 9 10 11 12 13 14 ed15 16 17 18 19 AT KHARIYAL PO Aadhar No. KHARIYAL PS Collected KHARIYAL DIST LT. B.K .PROSTHESIS 6 KRISHNA GAHIR 1Y M 42000 WITH MODIFIED FOOT 4,245.00 100% 0 0 0 4,245.00 0 No -

WITH PAIR OF SHOES 08.06.18 7608860837

AT/PO BADAMBA Aadhar No. DIST CUTTACK Collected RT. PP KAFO WITH APPEX COMPERSATION 7 PURNA CH. PANDA 55Y M 42000 1,355.00 100% 0 0 0 1,355.00 0 No - WITH SANDLE WITH

SPP 31.05.18 9090602320

AT/PO KHUHURI PS Aadhar No. TANGI DIST Collected KHURDA K JAGANNATH BIL. PP AFO WITH 8 16Y M 30000 700.00 100% 0 0 0 700.00 0 No -

ACHARI P.SHOES

07.06.18 9937161025

AT JAYANGAGAR Aadhar No. PO RANSHAI PS Collected CHANDIPUR DIST BIL. KAFO PP WITH SOFT LINING WITH KDL 9 RAGHUNATH PUHAN 65Y M 70000 9,013.00 100% 500 1500 0 11,013.00 0 No - AND PAIR OF SANDLE

SPP AND PAC-40 30.05.18 9938995991

AT/PO SIKHAR PUR Aadhar No. PS Collected DIST BIL. KAFO PP KDL WITH 10 ANTARYAMI PRUSTY 52Y M 40000 PAIR OF SHOE AND PEC- 8,963.00 100% 0 1500 0 10,463.00 0 No -

24 08.06.18 7653077288

AT Aadhar No. SADANANDAPUR Collected PO SAHAGAON RT. KAFO WITH KDL 11 GANESH SAHOO GOPALPUR PS 38Y M 42000 WITH ALM WITH PSS 3,980.00 100% 0 0 0 3,980.00 0 No - BANKI DIST

WITH COMP. 07.05.18

CUTTACK 9237855994

Page 2 of 12 wheth Num wheth Total cost of er any ber Mobile er Mal Aid Subsi Travel cost Board and surgic of Ration Card No. or SL. Income Date on Total of acco Name of Complete Ag e/F including dy paid to lodging al Days No./Voter ID land line NO (PER Type of Aid (given) which 10+11+12+1 mpani Photo of Beneficiary beneficiary Address e em fabrication/fi Provi outstation expenses correc for No./Aadhar number . ANUM) given 3 ed by ale tment ded beneficiary paid tion whic card Nol. with STD escor charges undert h Code** t aken stay 1 2 3 4 5 6 7 8 9 10 11 12 13 14 ed15 16 17 18 19 AT Aadhar No. DEBENDRANAGAR Collected PO NAYABAZAR PS BIL. PP KAFO WITH KDL 12 SARASWATI PATRA CHAULIAGANJ DIST 32Y F 40000 WITH AFM WITH PSS 7,075.00 100% 0 0 0 7,075.00 0 No - CUTTACK

WITH COMP. 07.06.18 8984063473

AT/PO KAMARDA Aadhar No. PS KAMAKHYA DIST Collected BOSTON BRACE PP AND 13 CHUNMUN SAHOO 8Y F 42000 8,245.00 100% 0 0 0 8,245.00 0 No -

WHEEL CHAIR CHILD

06.06.18 9937089679

AT KOLATHIA PO Aadhar No. AIGINIA PS Collected KHANDAGIRI DIST

14 BANDANA GHADAI KHURDA 50Y F 60000 RT. T.T. PROSTHESIS 4,245.00 100% 0 0 0 4,245.00 0 No -

05.06.18 7381553985

AT PADHANSAHI Aadhar No. PO KANTAPADA PS Collected OLATPUR DIST RT. T.T. PROSTHESIS 15 LIPI DAS CUTTACK 29Y F 42000 4,245.00 100% 0 0 0 4,245.00 0 No -

WITH P.SHOES

05.06.18 9938379117

AT /PO KASIA PS Aadhar No. DIST Collected KEONJHAR LT. T..T PROSTHESIS 16 SIBA MUNDA 22Y M 20000 WITH RANGER FOOT 4,245.00 100% 0 1500 0 5,745.00 0 No -

AND PAIR OF SHOES 05.06.18 8637235325

AT/PO BALIPADAR Aadhar No. PS DIST Collected BIL. PP AFO WITH 17 PRADYUNMA SETHY 6Y M 20000 550.00 100% 0 0 0 550.00 0 No -

SANDLE SPP

25.05.18 8018520969

Page 3 of 12 wheth Num wheth Total cost of er any ber Mobile er Mal Aid Subsi Travel cost Board and surgic of Ration Card No. or SL. Income Date on Total of acco Name of Complete Ag e/F including dy paid to lodging al Days No./Voter ID land line NO (PER Type of Aid (given) which 10+11+12+1 mpani Photo of Beneficiary beneficiary Address e em fabrication/fi Provi outstation expenses correc for No./Aadhar number . ANUM) given 3 ed by ale tment ded beneficiary paid tion whic card Nol. with STD escor charges undert h Code** t aken stay 1 2 3 4 5 6 7 8 9 10 11 12 13 14 ed15 16 17 18 19 AT/PO KAIRASI PS Aadhar No. KHALIKOTE DIST Collected GANJAM RT. KAFO PP WITH 18 MITHUN MALLIK 22Y M 40000 1,255.00 100% 0 0 0 1,255.00 0 No -

P.SHOES

25.07.18 9937906221

AT MALLIKAPUR PO Aadhar No. BAIDYARAJPUR PS Collected BARUAN DIST LT. T.T. PROSTHESIS WITH RANGER FOOT 19 RINARANI NAYAK 30Y F 40000 6,715.00 100% 0 0 0 6,715.00 0 No - AND PTB ORHTOSIS

WITH SHOES 11.05.18 8280413357

AT/PO PUDAMARI Aadhar No. PS PATTAPUR DIST Collected GANJAM LT. MOUDLED T.T. PROSTHESIS WITH 20 SAHEBANI BISOI 55Y F 48000 4,665.00 100% 0 0 0 4,665.00 0 No - SHOES SPP AND

WALKING STICK 21.05.18 9861255102

AT/PO KALAM Aadhar No. CHUIN PS Collected KHALIHARI DIST RT. PP AFO WITH 21 ANJALI SWAIN 28Y F 60000 275.00 100% 0 0 0 275.00 0 No -

C.STRAP SPP

24.05.18 9777217861

AT BAGHEI PO Aadhar No. KENDUPALI PS Collected BAIDESWAR DIST RT. T.F . PROSTHESIS 22 ASHLATA NAIK CUTTACK 30Y F 35000 WITH P.SHOE AND PAC- 6,283.00 100% 0 0 0 6,283.00 0 No -

40 04.06.18 7387255628

AT KAIPADA PS Aadhar No. BORI DIST JAJPUR Collected

23 SUBHASHREE BARIK 7Y F 50000 WHEEL CHAIR CHILD 7,200.00 100% 0 0 0 7,200.00 0 No - X 04.06.18

Page 4 of 12 wheth Num wheth Total cost of er any ber Mobile er Mal Aid Subsi Travel cost Board and surgic of Ration Card No. or SL. Income Date on Total of acco Name of Complete Ag e/F including dy paid to lodging al Days No./Voter ID land line NO (PER Type of Aid (given) which 10+11+12+1 mpani Photo of Beneficiary beneficiary Address e em fabrication/fi Provi outstation expenses correc for No./Aadhar number . ANUM) given 3 ed by ale tment ded beneficiary paid tion whic card Nol. with STD escor charges undert h Code** t aken stay 1 2 3 4 5 6 7 8 9 10 11 12 13 14 ed15 16 17 18 19 AT KAIPADA PO Aadhar No. KAIPADA PS BORI Collected DIST JAJPUR RT. SKAFO PP AND LT. 24 SUBHASHREE BARIK 7Y F 42000 1,120.00 100% 0 0 0 1,120.00 0 No -

PP AFO WITH PSS

03.07.18 7894780659

AT MAHIPUR PO Aadhar No. MAHIPUR PS Collected NUAGAON DIST JITENDRA KUMAR LT. PP AFO WITH 25 NAYAGARH 27Y M 40000 275.00 100% 0 0 0 275.00 0 No -

SAHOO P.SHOE AND SPP

02.07.18 9178405662

AT KARAGAN PO Aadhar No. NISANPUR PS Collected NANLA DIST BIL. PP KAFO WITH PAIR 26 PREMJEET SA KALAHANDI 7Y M 42000 550.00 100% 0 0 0 550.00 0 No -

OF SHOES SPP

27.06.18 7894645676

AT BAITOKUDA PO Aadhar No. KAKATPUR PS Collected KAKATPUR DIST LT. KNEE CAGE WITH 27 KALANDI POLLI 12Y M 42000 KDL AND PULL OVER 2,665.00 100% 0 0 0 2,665.00 0 No - X

STRAPS 06.07.18

AT BHUSAN PO Aadhar No. KUNDUNA DIST Collected BELESINGBON 28 8Y M 40000 WHEEL CHAIR CHILD 7,200.00 100% 0 0 0 7,200.00 0 No -

GANDA

16.07.18 9938498725

AT NUAPALI PO Aadhar No. BHIKARIPALI PS Collected CHATRAPUR DIST SPINAL JACKET PP AND 29 SABITA SAHOO GANJAM 22Y F 42000 1,827.00 100% 0 0 0 1,827.00 0 No -

CERVICAL COLLOR

11.07.18 8260516353

Page 5 of 12 wheth Num wheth Total cost of er any ber Mobile er Mal Aid Subsi Travel cost Board and surgic of Ration Card No. or SL. Income Date on Total of acco Name of Complete Ag e/F including dy paid to lodging al Days No./Voter ID land line NO (PER Type of Aid (given) which 10+11+12+1 mpani Photo of Beneficiary beneficiary Address e em fabrication/fi Provi outstation expenses correc for No./Aadhar number . ANUM) given 3 ed by ale tment ded beneficiary paid tion whic card Nol. with STD escor charges undert h Code** t aken stay 1 2 3 4 5 6 7 8 9 10 11 12 13 14 ed15 16 17 18 19 AT /PO Aadhar No. PRATAPNAGARI PS Collected BHANAPUR DIST BIL. PP AFO WITH PAIR 30 RITESH KU. ROUT CUTTACK 13Y M 40000 1,350.00 100% 0 0 0 1,350.00 0 No -

OF SPORTS SHOE

11.07.18 9776818797

AT PATHANLA PO Aadhar No. KHULAN PS Collected KHULAN DIST BIL. PP AFO WITH SHOE 31 SUSMITA BEHERA 9Y F 42000 SPP AND BIL. KNEE 1,585.00 100% 0 0 0 1,585.00 0 No -

GAITOR 13.07.18 9438040677

AT Aadhar No. SASANPURUSOTTA LT. T.T. PROSTHESIS Collected MPUR PO WITH RANGER FOOT 32 DILLIP KU. NAYAK DHANAMANDAL PS 30Y M 42000 NAD PP AFO WITH 4,745.00 100% 0 0 0 4,745.00 0 No - BARCHANA DIST

COMP. AND PAIR OF 13.07.18

JAJPUR MODIFIED SANDLE 8018121257

AT TULASIPUR PO Aadhar No. SIMILISAHI PS Collected NAYAGARH DIST BIL. PP AFO WITH PAIR 33 SIBUN MOHAPATRA NAYAGARH 14Y M 42000 700.00 100% 0 0 0 700.00 0 No -

OF SANDLE SPP

12.07.18 8018651610

AT NODA PO NODA Aadhar No. PS GOVINDPUR Collected DIST CUTTACK BIL. PP AFO WITH 34 SWETA DAS 16Y F 30000 3,473.00 100% 0 0 0 3,473.00 0 No -

P.SHOE AND PEC -24

12.07.18 9776632709

AT LAKHANAPALLI Aadhar No. PO BELAGAON DIST Collected GANJAM

35 ADITYA KU. SAHOO 14Y M 42000 WHEEL CHAIR CHILD 7,200.00 100% 0 0 0 7,200.00 0 No - X 12.07.18

Page 6 of 12 wheth Num wheth Total cost of er any ber Mobile er Mal Aid Subsi Travel cost Board and surgic of Ration Card No. or SL. Income Date on Total of acco Name of Complete Ag e/F including dy paid to lodging al Days No./Voter ID land line NO (PER Type of Aid (given) which 10+11+12+1 mpani Photo of Beneficiary beneficiary Address e em fabrication/fi Provi outstation expenses correc for No./Aadhar number . ANUM) given 3 ed by ale tment ded beneficiary paid tion whic card Nol. with STD escor charges undert h Code** t aken stay 1 2 3 4 5 6 7 8 9 10 11 12 13 14 ed15 16 17 18 19 AT ENABANGA PS Aadhar No. GOP DIST PURI Collected LT. T.T. PROSTHESIS 36 JAGANNATH MAUJI 55Y M 42000 WITH RANGER FOOT 4,245.00 100% 0 0 0 4,245.00 0 No -

AND P.SHOES 11.07.18 9776458886

AT/PO Aadhar No. BELLAGUNTHA PS Collected BHANJANGAR DIST LT. T.T. PROSTHESIS RADHASHYAM 37 GANJAM 65Y M 40000 WITH LANCER SHOES 4,665.00 100% 0 0 0 4,665.00 0 No - MOHAPATRA

AND WALKING STICK 05.07.18 9861877627

AT BRAHMAPUR PO Aadhar No. NUAGAON DIST Collected GANJAM BIL. PP AFO WITH 38 SABITA MAHAPATRA 14Y F 24000 DYNAMIC WITH PAIR 700.00 100% 500 0 0 1,200.00 0 No -

OF SHOES SPP 06.07.18 9861059419

AT HARIPUR PO Aadhar No. KABIRPUR PS Collected BARUAN DIST RT SKAFO WITH PAIR OF 39 SITARAM SAHU JAJPUR 46Y M 31000 1,485.00 100% 0 0 0 1,485.00 0 No -

SANDLE SPP

06.07.18 8895179674

AT/PO GODIPADA Aadhar No. PS DIST Collected NAYAGARH BIL. KAFO PP WITH KDL 40 BIBHU PRASAD DAS 23Y M 42000 7,790.00 100% 0 0 0 7,790.00 0 No -

WITH P.SHOE

09.07.18 7873948605

AT CHARIBATIA PS Aadhar No. CHAUDWAR DIST Collected CTC RT. T.T. PROSTHESIS LAXMIDHAR WITH EXO - SKELETAL

41 58Y M 60000 6,283.00 100% 120 1500 0 7,903.00 0 No - X MOHANTY TYPE RANGER FOOT AND PAC-40 30.07.18

Page 7 of 12 wheth Num wheth Total cost of er any ber Mobile er Mal Aid Subsi Travel cost Board and surgic of Ration Card No. or SL. Income Date on Total of acco Name of Complete Ag e/F including dy paid to lodging al Days No./Voter ID land line NO (PER Type of Aid (given) which 10+11+12+1 mpani Photo of Beneficiary beneficiary Address e em fabrication/fi Provi outstation expenses correc for No./Aadhar number . ANUM) given 3 ed by ale tment ded beneficiary paid tion whic card Nol. with STD escor charges undert h Code** t aken stay 1 2 3 4 5 6 7 8 9 10 11 12 13 14 ed15 16 17 18 19 AT ANGUL PO Aadhar No. ANGUL DIST ANGUL Collected

MODIFIED BOSTON 42 KESHABA SHARMA 15Y M 48000 1,290.00 100% 0 0 0 1,290.00 0 No -

BRACE

31.07.18 9040559151

AT/PO PODMUNDA Aadhar No. PS BARAGARH DIST Collected BARAGARH LT. B.E. PROSTHESIS 43 SURPILA BHO 50Y M 36000 WITH COSMATICK 4,285.00 100% 0 1500 0 5,785.00 0 No -

GLVOE 31.07.18 8018366299

AT GANJA PO Aadhar No. RAJKANIKA PS Collected RAJKANIKA DIST SWARNALATA BIL. PP KAFO WITH 44 KENDRAPADA 21Y F 42000 3,713.00 100% 0 0 0 3,713.00 0 No -

BEHERA P.SHOE AND PEC-24

31.07.18 9938787291

AT OLASAHI PO Aadhar No. KANIKAPADA PS Collected MANGALPUR DIST RT. KAFO PP WITH KDL DIBYAJYOTI WITH RT. SHOE COMP. 45 JAJPUR 11Y M 30000 3,765.00 100% 0 0 0 3,765.00 0 No - MOHAPATRA AND LT. PP AFO WITTH

P.SHEO 27.07.18 9668461772

AT SAYAN PO Aadhar No. DEOGAON PS RT. T.F. PROSTHESIS Collected BARAGARH DIST WITH FOUR BAR 46 EDERA SAIBABU BARAGARH 51Y M 42000 LINKAGE WITH RANGER 7,510.00 100% 0 0 0 7,510.00 0 No -

FOOT AND PAIR OF 27.07.18

SHOES 8457925644

AT DOKANDA PS Aadhar No. KANAS DIST PURI Collected ELBOW CONFERMOR LAXMINARAYAN 47 44Y M 42000 SPLINT AND PAN COCKE 1,815.00 100% 0 0 0 1,815.00 0 No - DALAI

SPLINT 27.07.18 8763302540

Page 8 of 12 wheth Num wheth Total cost of er any ber Mobile er Mal Aid Subsi Travel cost Board and surgic of Ration Card No. or SL. Income Date on Total of acco Name of Complete Ag e/F including dy paid to lodging al Days No./Voter ID land line NO (PER Type of Aid (given) which 10+11+12+1 mpani Photo of Beneficiary beneficiary Address e em fabrication/fi Provi outstation expenses correc for No./Aadhar number . ANUM) given 3 ed by ale tment ded beneficiary paid tion whic card Nol. with STD escor charges undert h Code** t aken stay 1 2 3 4 5 6 7 8 9 10 11 12 13 14 ed15 16 17 18 19 AT MAHIHADIA PO Aadhar No. DANDISAHI PS Collected PATAMUNDAI DIST RT. SUPINATOR WITH COCK UP SPLINT WITH 48 ADYASA MALLICK KENDRAPADA 3Y F 38000 1,480.00 100% 0 0 0 1,480.00 0 No - STAPLING TRINGER FOR

M.P HEXION 28.06.18 9777292463

AT BADALPADA PO Aadhar No. CHAMKUNDA PS Collected BALIPALA DIST BIL. COCKUP SPLINT WITH C.BAR WITH 49 MAMATA SAHOO BALESWAR 15Y F 32000 440.00 100% 0 0 0 440.00 0 No - ULNAR DEVIATION

STOP 06.07.18 7873135793

AT SWADHA JHULI Aadhar No. PO JALAI PS Collected BIKMAHAVASPUR BIL. PP AFO WITH 50 JOGESWAR PRADHAN DIST SUBARNPUR 7Y M 42000 C.STRAPS AND SPP AND 7,750.00 100% 0 0 0 7,750.00 0 No -

WHEEL CHAIR CHILD 12.07.18 9668871333

AT DHANPUR Aadhar No. PATNA PO Collected BALICHANDRAPUR GYANARANJAN LT. KOFO PP WITH KDL 51 DIST 26Y M 42000 3,880.00 100% 0 0 0 3,880.00 0 No -

SAHOO BALICHANDRAPUR WITH STRAPS 27.07.18

DIST JAJPUR 9937521696

AT/PO NELEGUDA Aadhar No. PS DASHAPALLA Collected DIST NAYAGARH LT. T. T. PROSTHESIS 52 MUKUND NAYAK 47Y M 42000 WITH RANGER FOOT 4,245.00 100% 0 0 0 4,245.00 0 No -

AND P.SHOES 24.07.18 9438628412

AT SASANPUR PO Aadhar No. SITHALO PS NIALI Collected DIST CUTTACK LT. PP KAFO WITH KDL 53 TUSHAR BEHERA 31Y M 40000 3,880.00 100% 0 0 0 3,880.00 0 No -

WITH PAIR OF SHOES

24.07.18 9238599867

Page 9 of 12 wheth Num wheth Total cost of er any ber Mobile er Mal Aid Subsi Travel cost Board and surgic of Ration Card No. or SL. Income Date on Total of acco Name of Complete Ag e/F including dy paid to lodging al Days No./Voter ID land line NO (PER Type of Aid (given) which 10+11+12+1 mpani Photo of Beneficiary beneficiary Address e em fabrication/fi Provi outstation expenses correc for No./Aadhar number . ANUM) given 3 ed by ale tment ded beneficiary paid tion whic card Nol. with STD escor charges undert h Code** t aken stay 1 2 3 4 5 6 7 8 9 10 11 12 13 14 ed15 16 17 18 19 AT JAYAPUR PO Aadhar No. SINGHESWAR PS Collected DIST BIL. PP KAFO WITHOUT 54 RAGHUNATH BARIK KHURDA 12Y M 35000 KNEE JT. AND KNEE 1,070.00 100% 300 0 0 1,370.00 0 No -

GAITOR BIL. 26.07.18 8917200656

AT BHABANIPATNA Aadhar No. PO Collected JUGASAHIPETNA MODIFIED SYMS PROSTHESIS LT. HD 55 MANTU MAJHI DIST KALAHUNDI 18Y M 42000 2,620.00 100% 0 0 0 2,620.00 0 No - ETHAFLEX FOOT WITH

PAIR OF SHOES 26.07.18 8480090936

AT/PO NIKIRAI DIST Aadhar No. KEDRAPADA Collected

LT. PP KAFO WITH KDL 56 SRINIBAS MALLICK 23Y M 24000 3,880.00 100% 300 1500 0 5,680.00 0 No -

WITH PAIR OF SHOES

20.07.18 9853363115

AT SUNANA PO Aadhar No. SUNANA PS TANGI Collected DIST KHURDA RT. A.E PROSTHESIS NABAKISHORE WITH FUNCTIONAL 57 22Y M 42000 7,205.00 100% 0 0 0 7,205.00 0 No - MUDULI HAND WITH HARNES

AND CONTROL CABLE 03.07.18 7873759707

AT GUDDA PO Aadhar No. DIGIDA PS SADAR Collected DIST BALSORE LT. T.T. PROSTHESIS 58 MANOJ KU. PADHI 53Y M 30000 WITH RANGER FOOT 4,245.00 100% 0 0 0 4,245.00 0 No -

AND P.SHOES 03.07.18 9777140244

AT ROUTRAY PUR Aadhar No. PO PADANPUR PS Collected BANKI DIST BIL. KAFO WITHOUT 59 MAMA PALEI CUTTACK 8Y F 37000 KNEE JT. WITH KNEE 1,355.00 100% 0 0 0 1,355.00 0 No -

CAP WITH RUBBER SOLE 19.07.18 8480742770

Page 10 of 12 wheth Num wheth Total cost of er any ber Mobile er Mal Aid Subsi Travel cost Board and surgic of Ration Card No. or SL. Income Date on Total of acco Name of Complete Ag e/F including dy paid to lodging al Days No./Voter ID land line NO (PER Type of Aid (given) which 10+11+12+1 mpani Photo of Beneficiary beneficiary Address e em fabrication/fi Provi outstation expenses correc for No./Aadhar number . ANUM) given 3 ed by ale tment ded beneficiary paid tion whic card Nol. with STD escor charges undert h Code** t aken stay 1 2 3 4 5 6 7 8 9 10 11 12 13 14 ed15 16 17 18 19 AT/PO DANDADIH Aadhar No. PS JAINAGAR DIST Collected KODERMA LT. KAFO PP WITH KDL 60 MITHULESH YADAV 23Y M 70000 4,195.00 100% 0 0 0 4,195.00 0 No -

AND PSS

20.07.18 9178537101

AT TARANGA Aadhar No. SAGARPUR PO Collected TARANG RT. T.T. PROSTHESIS NIBEDITA WITH RANGER FOOT 61 SAGARPUR PS 35Y F 40000 6,283.00 100% 400 1500 0 8,183.00 0 No - MOHAPATRA MANGALPUR DIST AND P.SHOES AND PAC- 40 20.07.18 JAJPUR 9853230919

AT/PO DHANGAER Aadhar No. PS BARAGARH DIST Collected BIL. KAFO WITH KDL 62 ANIL BANCHHAR 16Y M 42000 WITH VALGUS STRAP 6,975.00 100% 0 0 0 6,975.00 0 No -

AND P.SHOES 23.07.18 9583349732

AT PADASAHI PO Aadhar No. NAMARO PS Collected NAMARO DIST PURI

63 BIPINI BIHARI KANDI 54Y M 42000 LT. T T PROSTHESIS 4,245.00 100% 0 0 0 4,245.00 0 No -

23.07.18 9937802943

AT/PO Aadhar No. TALAKURUNI PS Collected KHANHARADI DIST RT. DAFO PP WITH 64 SURENDRA PARIDA BALSORE 60Y M 42000 485.00 100% 0 0 0 485.00 0 No -

SANDLE SPP

22.07.18 9040133097

AT PAIKAPADA PO Aadhar No. KOILHAGADA PS Collected OUPADA DIST JYOTI PRAKASH 65 BALASORE 9Y M 30000 WHEEL CHAIR CHILD 7,200.00 100% 0 0 0 7,200.00 0 No -

SAHOO

20.07.18 9776330543

Page 11 of 12 wheth Num wheth Total cost of er any ber Mobile er Mal Aid Subsi Travel cost Board and surgic of Ration Card No. or SL. Income Date on Total of acco Name of Complete Ag e/F including dy paid to lodging al Days No./Voter ID land line NO (PER Type of Aid (given) which 10+11+12+1 mpani Photo of Beneficiary beneficiary Address e em fabrication/fi Provi outstation expenses correc for No./Aadhar number . ANUM) given 3 ed by ale tment ded beneficiary paid tion whic card Nol. with STD escor charges undert h Code** t aken stay 1 2 3 4 5 6 7 8 9 10 11 12 13 14 ed15 16 17 18 19 - Aadhar No. UDHABA PADHIARI AT Collected KHALIKANI, PO

66 GANDAGHURA PS 48Y M 42000 - 100% 500 0 0 500.00 0 No - -

BRAJRAJ NAGAR DIST 06.07.18

- Aadhar No. AJAYA MOHANTY AT Collected MEDINIPUR PO

67 ALIPUT PS 12Y M 42000 - 100% 500 0 0 500.00 0 No - -

HALDIPADA DIST 27.07.18 BALASORE

- Aadhar No. Collected

68 SURPILA BHOI 50Y M 42000 - 100% 500 0 0 500.00 0 No - - 27.07.18

TOTAL… 2,50,888.00 3,820.00 12,000.00 2,66,708.00

Page 12 of 12