SWAMI VIVEKANAND NATIONAL INSTITUTE OF REHABILITATION TRAINING AND RESEARCH Department of Empowerment of Persons with Disabilities, Ministry of Social Justice and Empowerment, Govt. Of At- Olatpur , P.O- Bairoi , Dist- Cuttack ( ), PIN - 754010 SURGICAL CAMP SURGERY CAMP AT DHH PARALAKHEMUNDI, GAJAPATI ON 03.01.2020 UNDER ADIP SCHEME

Sl. Name of Complete Address Age Male/ Inc Type Date on Total cost of Subsi Tavel Boarding Whether Total No. of Wheth Aadhar Photo of bene- Mobile NO. beneficiary Femal om of which aid including dy cost and lodging any surgical 10+11+12+13 days for er Card No. ficiary any No. or e e Aid given fabri-cation/ provid paid expenses correction which accom- land line Give fitment ed to paid under-taken stayed panied number n charges out- by with STD stati escort Code** 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 C/O BANAMALI NAYAK AT BADASODA PS BALASORE Adhar No 1 DIST 2M M BPL - 10,000.00 100% - - RT. CTEV 10,000.00 Nil Nil NAYAK Collected

RAYAGADA

03.01.2020 8480137957

AT/PO J.K. PUR DIST RAYAGADA

NANDINI Adhar No

2 1M F BPL - 10,000.00 100% - - BIL. CTEV 10,000.00 Nil Nil X

NAYAK Collected 03.01.2020

Adhar No

3 NIHAL MAJHI 4M M - 10,000.00 100% - - RT. CTEV 10,000.00 Nil Nil X Collected

C/O PRIYANKA 03.01.2020 MAJHI AT/PO GURANDI, GUMA C/O SANKAR GOUDA AT/PO KULUNDA Adhar No

4 ANITA GOUDA GUMMA 8Y F - 10,000.00 100% - - RT. CTEV 10,000.00 Nil Nil X

Collected 03.01.2020

1 Sl. Name of Complete Address Age Male/ Inc Type Date on Total cost of Subsi Tavel Boarding Whether Total No. of Wheth Aadhar Photo of bene- Mobile NO. beneficiary Femal om of which aid including dy cost and lodging any surgical 10+11+12+13 days for er Card No. ficiary any No. or e e Aid given fabri-cation/ provid paid expenses correction which accom- land line Give fitment ed to paid under-taken stayed panied number n charges out- by with STD stati escort Code** 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 C/O RAJESH SAHOO AT/PO BADAPADA NUAGADA Adhar No

5 AYSURYA SAHOO 1.5Y F - 10,000.00 100% - - BIL. CTEV 10,000.00 Nil Nil X

Collected 03.01.2020

C/O DEBENDRA KANAFULA AT/PO KUJENDRI DIST RAYAGADA Adhar No

6 AKSHYA KANAFULA 1.6Y M - 10,000.00 100% - - LR. CTEV 10,000.00 Nil Nil X

Collected 03.01.2020

SWAPNA RANI Adhar No 7 C/O KAILASH 1Y F - 10,000.00 100% - - RT. CTEV 10,000.00 Nil Nil X NAYAK Collected

NAYAK AT /PO 03.01.2020 JHADAPADA R.UDAYGIRI

RADHA Adhar No 8 C/O RAMA 11Y F - 10,000.00 100% - - BIL. CTEV 10,000.00 Nil Nil X BADARATITA Collected

BADARAITA AT/PO 03.01.2020 SABARAPALLI DIST R. UDAYAGIRI

C/O MANGA Adhar No 9 AYUSH SABARA SABARA AT/PO 8Y M - 10,000.00 100% - - LR. CTEV 10,000.00 Nil Nil X Collected

MARLABA 03.01.2020 RAYAGADA DIST GAJAPATI

2 Sl. Name of Complete Address Age Male/ Inc Type Date on Total cost of Subsi Tavel Boarding Whether Total No. of Wheth Aadhar Photo of bene- Mobile NO. beneficiary Femal om of which aid including dy cost and lodging any surgical 10+11+12+13 days for er Card No. ficiary any No. or e e Aid given fabri-cation/ provid paid expenses correction which accom- land line Give fitment ed to paid under-taken stayed panied number n charges out- by with STD stati escort Code** 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19

C/O MARKANDA SONALI Adhar No 10 BHUYAN AT 4.5Y F - 10,000.00 100% - - BIL. CTEV 10,000.00 Nil Nil BHUYAN Collected

ENGARSING 03.01.2020 RAYAGADA DIST 8280233791 GAJAPATI C/O SELPA KANJAKA RAYAGDA Adhar No 11 KRITH KANJAKA 2Y F - 10,000.00 100% - - RT. CTEV 10,000.00 Nil Nil

Collected

03.01.2020 9178531799

C/O SRINADU ULAKE AT KANDALI BISAM Adhar No 12 SANJAYA ULAKA CUTTACK DIST 2Y F - 10,000.00 100% - - RT. CTEV 10,000.00 Nil Nil Collected

RAYAGADA

03.01.2020 8895981885

C/O JAMESH RAITA AT TABURING PO Adhar No 13 JAYASEN RAITA PUTURAPADA BL 2Y M - 10,000.00 100% - - BIL. CTEV 10,000.00 Nil Nil Collected

NUAGADA

03.01.2020 9439201587

S TARAKESWAR Adhar No 14 2.2Y M - 10,000.00 100% - - BIL. CTEV 10,000.00 Nil Nil RAO Collected

C/O S . SAMPATY 03.01.2020 AT BIRISINGH PS 9908519380 KASHINAGAR

3 Sl. Name of Complete Address Age Male/ Inc Type Date on Total cost of Subsi Tavel Boarding Whether Total No. of Wheth Aadhar Photo of bene- Mobile NO. beneficiary Femal om of which aid including dy cost and lodging any surgical 10+11+12+13 days for er Card No. ficiary any No. or e e Aid given fabri-cation/ provid paid expenses correction which accom- land line Give fitment ed to paid under-taken stayed panied number n charges out- by with STD stati escort Code** 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 C/O SERPARI SABAR AT/PO SUNKANPECHA PS Adhar No

15 BIRSEN SABAR KASI NAGAR DIST 2Y M - 10,000.00 100% - - RT. CTEV 10,000.00 Nil Nil X Collected

RAYAGADA 03.01.2020

C/O BALARAM SABAR AT LARGASCHI DIST Adhar No 16 SAMIR SABAR RAYAGADA 10M M - 10,000.00 100% - - BIL. CTEV 10,000.00 Nil Nil

Collected

03.01.2020 9439486464

AT LUINA GADA DIST RAYAGADA

Adhar No 17 JIBINI MANDAL 10Y F - 10,000.00 100% - - LT. CTEV 10,000.00 Nil Nil

Collected 03.01.2020

AT KIMILON DIST RAYAGADA

BARSHARANI Adhar No 18 05Y F - 10,000.00 100% - - BIL. CTEV 10,000.00 Nil Nil

BEHERADALAI Collected

03.01.2020 8895044532

C/O DIGAMBAR GAMANGO AT MUNISINGH DIST PADMASINI Adhar No 19 RAYAGADA 2Y F - 10,000.00 100% - - RT. CTEV 10,000.00 Nil Nil

GAMANGO Collected

03.01.2020 7.37719E+11

4 Sl. Name of Complete Address Age Male/ Inc Type Date on Total cost of Subsi Tavel Boarding Whether Total No. of Wheth Aadhar Photo of bene- Mobile NO. beneficiary Femal om of which aid including dy cost and lodging any surgical 10+11+12+13 days for er Card No. ficiary any No. or e e Aid given fabri-cation/ provid paid expenses correction which accom- land line Give fitment ed to paid under-taken stayed panied number n charges out- by with STD stati escort Code** 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 C/O DANDA SABAR AT ANGEELA GUMMA Adhar No 20 LISHA SABAR DIST RAYAGADA 5Y F - 10,000.00 100% - - BIL. CTEV 10,000.00 Nil Nil

Collected

03.01.2020 8763584740

C/O AGNIEL GAMANGO AT SARI GUMMA DIST GIRI KISH RAYAGADA RT. Adhar No 21 5Y M - 10,000.00 100% - - 10,000.00 Nil Nil

GAMANGO EQUINUS Collected

03.01.2020 8480509558

C/O P. BASANTA AT/PO TULASI PADU GOSANI DIST RAYAGADA Adhar No 22 P ANU 5Y F - 10,000.00 100% - - BIL. CTEV 10,000.00 Nil Nil

Collected

03.01.2020 87513418435

C/O TITU PANI AT/PO SERANGO GUMMA DIST RAYAGADA Adhar No 23 SANDESH PANI 13Y M - 10,000.00 100% - - LT. CTEV 10,000.00 Nil Nil

Collected

03.01.2020 8763298016

C/O ANTARAYAMI KOUJI AT JUBA PO GOVINDPUR DIST RAYAGDA Adhar No 24 CHINTU KARJI 13Y M - 10,000.00 100% - - RT. CTEV 10,000.00 Nil Nil

Collected

03.01.2020 7656065024

TOTAL… 2,40,000.00 - 2,40,000.00 5