Travel cost paid to outstation beneficiar y. Subsi dy Provi ded. Board and lodging expenses paid. Aadhar No. 36Y M Collected BALANGIR

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06082018 08082018 965681401 090218 87285504 220618 9676816211 05018 997656762 SWAMI VIVEKANAND NATIONAL INSTITUTE OF REHABILITATION TRAINING AND RESEARCH OLATPUR,BAIRIOI, CUTTACK (ODISHA) LIST OF

No/Aadar card Nol Po Bnficiar 1 2 4 5 6 7 8 9 10 11 12 1 14 15 16 17 18 19 C/O BHAGIRATHI MISHRA AT BICHHUPALI PO RT T F PROSTHESIS 1 ASHOK MISHRA KHARJHURA PS WITH 4BAR KNEE JT Aadar No 6Y M 24000

1 SWAMI VIVEKANAND NATIONAL INSTITUTE OF REHABILITATION TRAINING AND RESEARCH OLATPUR,BAIRIOI, CUTTACK (ODISHA) LIST OF PATIENTS (ADIP CASES) FOR THE MONTH OF AUGUST 2018 Mon: Aug18 /F m Incom Tp (givn) Da on givn mn cargs dd Travl bnficiar xpnss w r an corrc undr akn To br Das sa d w r d b scor Ra Card No/Vor ID No/Aadar card Nol Po Bnficiar C/O BHAGIRATHI MISHRA AT BICHHUPALI PO RT T F PROSTHESIS 1 ASHOK MISHRA KHARJHURA PS WITH 4BAR KNEE JT Aadar No 6Y M , % , No PUINTALA DIST WITH PSHOE AND Collcd BALANGIR PAC40 Conac No 2 BENU GOPAL CHOUDHURY AT DEOPUR PO LABANYAGARH PS GARABANDHA DIST GAJAPATI 70Y M LT PTB ORTHOSIS WITH SOFT LINING AND PSS AND RT SIDE SHOE COMP 2, % , No Aadar No Collcd MD AZAM AT/PO PASARHI PS MISSCAL DIST NAWADA STATE BIHAR 5Y M RT TT PROSTHESIS WITH CIFF SUSPENSION AND PAIR FO RANGER FOOT AND PAIR OF SHOES AND PAC40 6, % , No Aadar No Collcd 4 PRAFULLA CH NAYAK AT/PO BAHUGRAM PS JAGATPUR DIST CUTTACK 62Y M BIL TT PROSTHESIS WITH EKO SKELETAL KTYPE WITH CUFF SUSPENSION AND RANGER FOOT AND PAIR OF SHOES 8, % , No Aadar No Collcd 5 SK ALKAS AT/PO BALUBAGAON PO SUNHAT PS SADAR DIST BALESORE 5Y F REPLACEMENT OF RT RANGER FOOT 22 RT 1, % , No Aadar No Collcd Pag 1 9

060218 917896912 00818 955689119 010818 777101274 010818 865805006 020818 99895947 060818 9777669515 /F m Incom Tp (givn) Da on givn mn cargs dd Travl bnficiar xpnss w r an corrc undr akn To br Das

100% 0 0 0 94000 0 No BIL PP KAFO WITH LINER AND PAIR OF SANDLE SPP Aadar No Collcd Conac No 7 SUMYA MOHARANA AT MADHUPUR PO TALADANDA PS KUJANGA DIST J S PUR 7Y F 5000 LT PTB ORTHOSIS WITH COMPER

2 /F m Incom Tp (givn) Da on givn mn cargs dd Travl bnficiar xpnss w r an corrc undr akn To br Das sa d w r d b scor Ra Card No/Vor ID No/Aadar card Nol Po Bnficiar AT TIKAYAT NAGAR PO TALCHUA PS TALCHUA DIST 6 GOURAM JENA KENDRAPADA 5Y M % No BIL PP KAFO WITH LINER AND PAIR OF SANDLE SPP Aadar No Collcd Conac No 7 SUMYA MOHARANA AT MADHUPUR PO TALADANDA PS KUJANGA DIST J S PUR 7Y F 5000 LT PTB ORTHOSIS WITH COMPER AND PATTERN BOTTON 1, % , No Aadar No Collcd 8 PRATAP GOCHHAYAT AT/PO GOTAMARA PS BANARPAL DIST ANGUL 50Y M LT MODIFIED SYMES PROSTHESIS WITH PSHOE 2, % , No Aadar No Collcd 9 BAGULI GOUD AT MANGALAJODI PS TANGI DIST KHURDA 5Y M RT SYMS PROSTHESIS AND PSHOE AND WALKING STICK, % , No Aadar No Collcd 10 MANDIKA SAMBU AT RAMACHANDRA NAGAR PO THERUBALI PS CHANDILI DIST RAYAGADA 5Y M RT TT PROSTHESIS AND PAIR OF LANCER SHOES 4, % , No Aadar No Collcd 11 BISHNU SAMAL AT THENGUDIA PO RAJHAT PS BASTA DIST BALSORE 60Y M LT TT PROSTHESIS AND WALKING STICK 4, % , No Aadar No Collcd Pag 2 9

100818 948128664 260718 955665580 260718 99816295 240718 7790067479 250718 8658061792 060718 998687524 12 UDHABA PADHIARI /F m Incom Tp (givn) Da on givn mn cargs dd Travl bnficiar xpnss w r an corrc

MODULAR PROSTHESIS WITH PAIR OF LANCER SHOES AND PAC40 6,2800 100% 0 0 0 6,2800 0 No Aadar No Collcd Conac No 1 PRAKASH CH JENA AT KHALIAKANI PO GANDAGHURA PS BRAJARAJ NAGAR DIST JHARSUGUDA 45Y M

F 42000 WHEEL CHAIR AND BIL SKAFO PP WITH PAIR OF SHOES SPP 8,47000 100% 0 0 0 8,47000 0 No Aadar No Collcd 15 AJAY MOHANTY AT MEDINIPUR PO ALIPUT PS SADAR BALASORE DIST BALASORE 65Y M 80000 LT TT

3 UDHABA PADHIARI /F m Incom Tp (givn) Da on givn mn cargs dd Travl bnficiar xpnss w r an corrc undr akn To br Das sa d w r d b scor Ra Card No/Vor ID No/Aadar card Nol Po Bnficiar AT THENGUDIA PO RAJGHAT PS BASTA DIST BALASORE 48Y M LT TF MODULAR PROSTHESIS WITH PAIR OF LANCER SHOES AND PAC40 6, % , No Aadar No Collcd Conac No 1 PRAKASH CH JENA AT KHALIAKANI PO GANDAGHURA PS BRAJARAJ NAGAR DIST JHARSUGUDA 45Y M RT T T PROSTHESIS WITH PTB SOCKET WITH CUFF SUSPENTION SYSTEM AND PAIR OF SHOES 4, % , No Aadar No Collcd 14 ANJALI BEHERA AT BHUSANDPUR PO TANGI PS TANGI DIST KHURDA 11Y F WHEEL CHAIR AND BIL SKAFO PP WITH PAIR OF SHOES SPP 8, % , No Aadar No Collcd 15 AJAY MOHANTY AT MEDINIPUR PO ALIPUT PS SADAR BALASORE DIST BALASORE 65Y M LT TT PROSTHESIS WITH PTB SOCKET WITH SOFT LINING AND RNAGER FOOT AND PAIR OF SHOES AND WALKING STICK 4, % , No Aadar No Collcd 16 PRASAD PRADHAN AT SRI RAM NAGAR PS RASULGARH DIST KHURDA 22Y M LT TT PROSTHESIS AND PAIR OF LANCER SHOE AND PAC40 6, % , No Aadar No Collcd 17 DHARITRI CHAKRA AT KANPUR PO BALICHANDRAPUR PS RAMCHANDRAPUR DIST KEONJHAR 45Y F 0000 BIL SMO WITH SOFT LINING AND PAIR OF LANCER SHOES SPP % No Aadar No Collcd Pag 9

100718 948128664 280818 917891912 00818 7879145 010618 94997696 00818 8117889015 290818 9178815291 18 DHARMANANDA DAS /F m Incom Tp (givn) Da on givn mn cargs dd Travl bnficiar xpnss w r an corrc

40000 100% 0 0 0 40000 0 No Aadar No Collcd Conac No 19 PRASANJIT PRADHAN AT HADUA PO GOVINDPUR PS AUL DIST KENDRAPADA 15Y M 40000 LT T T PROSTHESIS WITH PTB SOCKET WITH SOFT LINES WITH CUFF

0 7,20000 0 No Aadar No Collcd 21 OMM PRAKASH KHATEI AT KHAJARA PO KASARDA PS NIALI DIST CUTTACK 1Y M 24000 BIL PP AFO WITH SANDLE SPP 70000 100% 0 0 0 70000 0 No Aadar No Collcd 22 ADIANATHA LENKA

4 DHARMANANDA DAS /F m Incom Tp (givn) Da on givn mn cargs dd Travl bnficiar xpnss w r an corrc undr akn To br Das sa d w r d b scor Ra Card No/Vor ID No/Aadar card Nol Po Bnficiar AT BALIKUDA PO BALIKUDA PS BALIKUDA DIST J S PUR 72Y M L S BELT % No Aadar No Collcd Conac No 19 PRASANJIT PRADHAN AT HADUA PO GOVINDPUR PS AUL DIST KENDRAPADA 15Y M LT T T PROSTHESIS WITH PTB SOCKET WITH SOFT LINES WITH CUFF SUSPENSION WITH RANGERFOOT WITH PSHOES 4, % , No Aadar No Collcd 20 UPASHANA SINGH AT DHABADHUBUNI PO BIRERSWARPUR DIST MAYURBHANJ 5Y F WHEEL CHAIR CHILD 7, % , No Aadar No Collcd 21 OMM PRAKASH KHATEI AT KHAJARA PO KASARDA PS NIALI DIST CUTTACK 1Y M BIL PP AFO WITH SANDLE SPP % No Aadar No Collcd 22 ADIANATHA LENKA AT GARADIHA PO ISWARPUR PS MANGALPUR DIST JAJPUR 7Y M BIL PP KAFO WITH SHOE 6, % , No Aadar No Collcd 2 SUCHISMITA CHAKRA AT KANPUR PO KANPUR PS KUSALESWAR DIST KEONJHAR 1Y F SHOE MODIFICATION WITH MEDIAL HALLU VALGUS PAD WITH PSHOES % No Aadar No Collcd Pag 4 9

10818 958222788 10818 9776611479 100818 700865655 10818 97616181 180818 20818 9587465 24 GOVINDA DEBATA /F m Incom Tp (givn) Da on givn mn cargs dd Travl bnficiar xpnss w r an corrc undr akn To br

SHOES AND PAC40 9,54800 100% 400 1500 0 11,44800 0 No Aadar No Collcd Conac No 25 JAGANNATH MALLICK AT NAHALPUR PO NAHALPUR PS GOVINDPUR DIST CUTTACK 48Y M 42000 PAIR OF SANDLE WITH COMP 50000 100% 0

REDDY AT BERHAMPUR PO RAMNAGAR PS N PUR DIST GANJAM 1Y M 42000 LT SYMS PROSTHESIS WITH PAIR OF SHOES 2,62000 100% 500 0 0,12000 0 No Aadar No Collcd 28 SILU JENA AT HARIPUR PO GODIPUT PS DELANG DIST

5 GOVINDA DEBATA /F m Incom Tp (givn) Da on givn mn cargs dd Travl bnficiar xpnss w r an corrc undr akn To br Das sa d w r d b scor Ra Card No/Vor ID No/Aadar card Nol Po Bnficiar AT/PO BAJRAKOTE PS RENGALI DIST ANGUL 45Y M RT T K PROSTHESIS WITH PAIR OF SHOES AND PAC40 9, % , No Aadar No Collcd Conac No 25 JAGANNATH MALLICK AT NAHALPUR PO NAHALPUR PS GOVINDPUR DIST CUTTACK 48Y M PAIR OF SANDLE WITH COMP % No Aadar No Collcd 26 SITAKANTA DAS AT/PO BIDYADHARPUR PS TIHIDI DIST BHADRAK 40Y M LT TT PROSTHESIS AND PAIR OF SHOE 4, % , No Aadar No Collcd 27 R GURUNATH REDDY AT BERHAMPUR PO RAMNAGAR PS N PUR DIST GANJAM 1Y M LT SYMS PROSTHESIS WITH PAIR OF SHOES 2, % , No Aadar No Collcd 28 SILU JENA AT HARIPUR PO GODIPUT PS DELANG DIST PURI 15Y M PAIR OF SURGICAL SDHOE WITH LAT SOLE OF HEEL RAISE ON LT SIDE AND EQUNERIS RISE HEEL RAISE ON RT SIDE % No Aadar No Collcd 29 ANITA BEHERA AT REGEDAPADA PO KHUNTAKATA PS ATHAGADA DIST CUTTACK 16Y F LT BEND KNEE PROSTHESIS WITH RANGER FOOT AND PAIR OF SHOE 7, % , No Aadar No Collcd Pag 5 9

00818 760809745 290818 94700687 290818 9777591292 290818 9777754524 240818 990709615 210818 998866929 0 PARAMESWAR DASH /F m Incom Tp (givn) Da on givn mn cargs dd Travl bnficiar xpnss w r an corrc

No 41Y M 40000 4,24500 100% 0 0 0 4,24500 0 No PS DHARMASALA WITH PSHOE Collcd DIST JAJPUR Conac No 1 AJANANA PRAJAPATI AT SINGHPUR PS SINGHPUR DIST SAPNA STATE MP 28Y F 45000 RT AE PROSTHESIS WITH

6 PARAMESWAR DASH /F m Incom Tp (givn) Da on givn mn cargs dd Travl bnficiar xpnss w r an corrc undr akn To br Das sa d w r d b scor Ra Card No/Vor ID No/Aadar card Nol Po Bnficiar AT SANA BULIPANDA PO ARABAL PS BRAHMABARADA BIL BK PROSTHESIS Aadar No 41Y M , % , No PS DHARMASALA WITH PSHOE Collcd DIST JAJPUR Conac No 1 AJANANA PRAJAPATI AT SINGHPUR PS SINGHPUR DIST SAPNA STATE MP 28Y F RT AE PROSTHESIS WITH DOUBLE WALL SOCKET WITH INTERANAL ELBOW UNIT WITH FOREARM WITH COSMETIC GLOVES 7, % , No Aadar No Collcd 2 RASANANDA SAHOO AT SANKHAMUDA PS KHAMAR DIST ANGUL 62Y M 4000 LT T T PROSTHESIS WITH SOCKET WITH SOFT LINING AND PAIR OF SPORTS SHOE AND PAC40 6, % , No Aadar No Collcd KRISHNA UDURKOLIA AT BADIGHORE PO CHANDAN BUADI PS BALANGIR DIST BALANGIR 6Y M RT TF PROSTHESIS WITH PSHOE 7, % , No Aadar No Collcd 4 DHARNAIDHAR SAHOO AT/PO KARADI PS BOUDH DIST BOUDH 40Y M LT PROSTHESIS WITH FUNCTIONAL HAND AND HARNESS SYSTEM AND CONTROL CABLE 4, % , No Aadar No Collcd 5 DHANA TIRKI AT KANDHAL PO SALEBHATA PS NATIDEUL DIST SAMBALPUR 45Y M 5000 RT TT PROSTHESIS AND PAIR OF SHOES 4, % , No Aadar No Collcd Pag 6 9

210218 090818 997858511 080818 775187966 10818 909091990 10818 955672992 10818 997005961 /F m Incom Tp (givn) Da on givn mn cargs dd Travl bnficiar xpnss w r an corrc undr akn To br Das sa d w r d b

BIL KAFO PP WITHOUT KNEE JT WITH KNEE CAP WITH SOLID ANKLE WITH RSOLE Aadar No Collcd Conac No 7 SRADANJALI DALABEHERA AT GOPINALTPUR PO GAMBHARIMUNDA PS BANAPUR DIST KHURDA 9Y F 40000 LT PTB

7 /F m Incom Tp (givn) Da on givn mn cargs dd Travl bnficiar xpnss w r an corrc undr akn To br Das sa d w r d b scor Ra Card No/Vor ID No/Aadar card Nol Po Bnficiar AT SECTOR7 CDA, BIDANASI PS MARKET NAGAR 6 BISESH DIST CUTTACK 7Y M % No BIL KAFO PP WITHOUT KNEE JT WITH KNEE CAP WITH SOLID ANKLE WITH RSOLE Aadar No Collcd Conac No 7 SRADANJALI DALABEHERA AT GOPINALTPUR PO GAMBHARIMUNDA PS BANAPUR DIST KHURDA 9Y F LT PTB ORTHOSIS WITH COMPER SPP 1, % , No Aadar No Collcd 8 BISWANATH BARIK AT ISWARPUR PO SUNDARGAON PS SADAR DIST CUTTACK 28Y M RT KAFO PP WITH KDL WITH SOFT LINING AND KNEE JT AND PAIR OF SANDLE AND PAC40 6, % ,200 0 No Aadar No Collcd 9 SILARANI SAMAL AT DHENKAHAL PO TOKAR PS BALINI DIST DKL 10Y F RT PP AFO WITH PSHOE AND LT SHOE MODIFICATION WITH MEDIAL ARCH SUPPORT SPP % No Aadar No Collcd 40 DEEPAK KU CHHATOI AT GOSINGA PO UDAYAPUR PS ASTARANGA DIST PURI 29Y M RT KAFO PP WITH SOFT LINING # SOCKET JT AND PSHOE AND LT SKAFO WITH SOFT LINING AND PEC24 2, % , No Aadar No Collcd 41 PARAMANANDA SAHOO AT SARANGA PO BHATIMUNDA PS TANGI DIST CUTTACK 7Y M STRONG V CORD WITH SC 1, % , No Aadar No Collcd Pag 7 9

160818 140818 040818 14018 14018 210218 42 MADHUSMITA SENAPATI /F m Incom Tp (givn) Da on givn mn cargs dd Travl bnficiar xpnss w r an corrc undr akn To br Das sa d w r d b scor Ra Card No/Vor ID

8 MADHUSMITA SENAPATI /F m Incom Tp (givn) Da on givn mn cargs dd Travl bnficiar xpnss w r an corrc undr akn To br Das sa d w r d b scor Ra Card No/Vor ID No/Aadar card Nol Po Bnficiar AT SABAMUL PO SABMUL PS J S PUR DIST J S PUR 5Y F MODARATE V CORD WITH SC 1, % , No Aadar No Collcd Conac No 4 TRIPHALA MAHARANA AT POKHARIGAON PO BAGALSAHI PS NIALI DIST CUTTACK 22Y F STRONG V CORD WITH SC 1, % , No Aadar No Collcd 44 RAMA CHANDRA MISHRA AT CHANDBALI PO CHANDBALI DIST BHADRAK 80Y M MODARATE V CORD WITH SC 1, % , No Aadar No Collcd 45 SRIDHAR ROUT AT SALAGAON PO TANGI PS TANGI DIST CUTTACK 74Y M % No Aadar No Collcd 46 KRUSHNA NAG AT CHANCHRABHATA PO BHARUAMUNDA PS 20Y M SINA PALI DIST NUAPADA 100% No Aadar No Collcd 47 SISIR KUMAR JENA AT/PO NILAGIRI PS NILAGIRI DIST BALASORE 29Y M % No Aadar No Collcd Pag 8 9

9 MAMATA BEHERA /F m Incom Tp (givn) Da on givn mn cargs dd Travl bnficiar xpnss w r an corrc undr akn To br Das sa d w r d b scor Ra Card No/Vor ID No/Aadar card Nol Po Bnficiar AT/PO BAJRAKOTE PS RENGALI DIST ANGUL 0Y F % No Aadar No Collcd Conac No AT/PO KHALIKOT DIST GANJAM 49 RAJENDRA SETHY 2Y M % No Aadar No Collcd TOTAL 1,68, ,4000 7, ,80,96400 BENI APP Bni Amou Bni Amou SC ST OBC GEN TA ACCO To To Pag 9 9

Travel cost paid to outstation beneficiar y. Subsi dy Provi ded. Board and lodging expenses paid. Aadhar Number 08Y M PEC-23

Travel cost paid to outstation beneficiar y. Subsi dy Provi ded. Board and lodging expenses paid. Aadhar Number 08Y M PEC-23 8018600170 95869085 121118 8594848492 051118 978827 121118 SWAMI VIVEKANAND NATIONAL INSTITUTE OF REHABILITATION TRAINING AND RESEARCH OLATPUR,BAIRIOI, CUTTACK (ODISHA) LIST OF PATIENTS (ADIP CASES) FOR