Project	SATAT SHEHAR
Distributor	Laxmi (Code : MEDICALKIT)
Benificiar Name	Vanshi
Family Member	0
Received Item	PO Number: PO/2023/05279 Item Title: Medical Support UP SS 100 Item Details: 1. Wheel Chair 5, 2. Normal Stretcher 5, 3. First Aid Kit 10, 4. Heavy Safety Helmet 100, 5. Reflective Jacket 100, 6. Gumboot 50, 7. Hand Saw 10, 8. Spade 10, 9. Claw Hammer 10, 10. Axe 10, 11. Safety Gloves 100
Item Received By	Vanshi
Receiver Image
Receiver Signature
Receiver Relation	Self
Receiver Gender	Male
Receiver Age	44
Receiver Disability	Yes
Receiving Verified By (Individual)
Verifier Designation (Individual)	CBO Member
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	Jatashankar
Panchayat	Jatashankar
Distribution Date	20-Sep-2023