Project	Action for Holistic Rural Development Programme
Distributor	Bikash Surin (Code : TASKFORCE)
Benificiar Name	Prodip Pegu
Family Member	6
Received Item	PO Number: PO/2023/00961 Item Title: Task Force Group Item 5 Item Details: 1. Life Jacket, 2. Life Bouy Ring, 3. Mega Phone, 4. Blanket, 5. Polypropylene Rope, 6. Elastic Wrap Bandage , 7. Roller Grauze, 8. Cotton Balls, 9. Scissors, 10. Antiseptic Solution, 11. Pain Relievers
Item Received By	Prodip Pegu
Receiver Image
Receiver Signature
Receiver Relation	Self
Receiver Gender	Male
Receiver Age	28
Receiver Disability	Yes
Receiving Verified By (Individual)	Bikash Surin
Verifier Designation (Individual)	IGSSS Staff
Verifier Signature (Individual)
Receiving Verified By (Bulk)	Rajib Doley👍
Verifier Designation (Bulk)	Prominent Community Member
Verifier Signature (Bulk)
IGSSS Staff Name	Bikash Surin
IGSSS Staff Signature
State	Assam
District	Dhemaji
Block	Dhemaji
Village	Maj Dihiri
Panchayat	Jiadhal
Distribution Date	28-Feb-2023