Project	Suposhan Jhabua -321-18/11
Distributor	Rakesh Bhuriya (Code : KVERMIBED1)
Benificiar Name	Gopal
Family Member	9
Received Item	PO Number: PO/2023/06818 Item Title: Bermi Bed Khandwa PO- 06818 Item Details: Bermi Bed
Item Received By	Lalita Bhuriya
Receiver Image
Receiver Signature
Receiver Relation	Sister
Receiver Gender	Female
Receiver Age	40
Receiver Disability	Yes
Receiving Verified By (Individual)	Sadhana Damor
Verifier Designation (Individual)	AWW
Verifier Signature (Individual)
Receiving Verified By (Bulk)	Sadhana Damor
Verifier Designation (Bulk)	AWW
Verifier Signature (Bulk)
IGSSS Staff Name	Rakesh Bhuriya
IGSSS Staff Signature
State	Madhya Pradesh
District	JHABUA
Block	JHABUA
Village	Talawali
Panchayat	Talawali
Distribution Date	16-Dec-2023