Project	SATAT SHEHAR
Distributor	Laxmi (Code : CBOUP001)
Benificiar Name	CDC Vyas Nagar
Family Member	4
Received Item	PO Number: Item Title: Tools for CBO UP Item Details: 1. Iron Box 2. Banner 3. Register 4. Stamp 5. Letter Head 6. Ink Pad
Item Received By	CDC Vyas Nagar
Receiver Image
Receiver Signature
Receiver Relation	Self
Receiver Gender	Female
Receiver Age	35
Receiver Disability	No
Receiving Verified By (Individual)	Laxmi
Verifier Designation (Individual)	IGSSS Staff
Verifier Signature (Individual)
Receiving Verified By (Bulk)
Verifier Designation (Bulk)
Verifier Signature (Bulk)	-
IGSSS Staff Name
IGSSS Staff Signature	-
State	Uttar Pradesh
District	Gorakhpur
Block	Gorakhpur
Village	Vyas Nagar
Panchayat	Jangal Salikram
Distribution Date	17-Jan-2023