Project	Suposhan Jhabua -321-18/11
Distributor	Rakesh Bhuriya (Code : KVERMIBED1)
Benificiar Name	Jamsingh
Family Member	22
Received Item	PO Number: PO/2023/06818 Item Title: Bermi Bed Khandwa PO- 06818 Item Details: Bermi Bed
Item Received By	Jamsingh
Receiver Image
Receiver Signature
Receiver Relation	Self
Receiver Gender	Male
Receiver Age	60
Receiver Disability	Yes
Receiving Verified By (Individual)	Lalita Vagul
Verifier Designation (Individual)	AWW
Verifier Signature (Individual)
Receiving Verified By (Bulk)	Lalita Vagul
Verifier Designation (Bulk)	AWW
Verifier Signature (Bulk)
IGSSS Staff Name	Rakesh
IGSSS Staff Signature
State	Madhya Pradesh
District	JHABUA
Block	JHABUA
Village	Khermal
Panchayat	Khermal
Distribution Date	08-Dec-2023