Project	Project Testing1
Distributor	Assam4 (Code : ASSAM004)
Benificiar Name	A Kumar71
Family Member	1
Received Item	PO Number: PO/2021/00799 Item Title: SUP Paddy Assam Item Details: 2kg
Item Received By	A Kumar71
Receiver Image
Receiver Signature
Receiver Relation	Self
Receiver Gender	Female
Receiver Age	75
Receiver Disability	Yes
Receiving Verified By (Individual)	Md tufazzul Hoquee
Verifier Designation (Individual)	IGSSS Staff
Verifier Signature (Individual)
Receiving Verified By (Bulk)	Xyz
Verifier Designation (Bulk)	Gram Pradhan/ Mukhiya
Verifier Signature (Bulk)
IGSSS Staff Name	TH
IGSSS Staff Signature
State	Bihar
District	Katihar
Block	Manihari
Village	Baghar Bil
Panchayat	Kebala
Distribution Date	25-Oct-2022