Government of Andhra pradesh

CERTIFICATE FOR PERSON WITH DISABILITY

(rssued
under the authority vide G.o,Irrs.No.3r, wD cw & Dw Dept.Dated
o1.12.2oo9)

Medical Board:
Government Hospital, Rajahmundry
ID No.of Person with Disability: 0405242A13Ot74O2g
Date of Issue:
27/OB/ZAL0
This is certified that shri chodishetti Nageswara Rao
, sy'o Kaasulu, Male, age 2g years,
resident of H'No.# 1-356, Pinepalla Habitation, pinapatt-e
villug", Alamuru Mandal, East
Godavari District, is suffering from Perm.anent disability
of the following category:Physica ( Locom otor/Orthopaid ic) D sa bi ity
The disabiiity is in relation to his : Bilateral Lower Limb.
Impaired reach.
sub-type of disabirity :post porio Residuar pararysis (ppRpr.
I

Cause of Disability
C

e
o

: poiio.

Re-assessment of this case is not recoffirfi*nd*d.

Percentage of disability in his case is g*o/o
INinety percent].
Identification Marks of Person with Disability:alA M*l* 0n The Throat .
blA Male on The Right side *f The Baek t

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Signature/Thum b im pression
of Person with Disability

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Signature

Dr.
p. ;NAL3

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Designatlon: CIVIL

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Regn.No :

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Note: This is not valid for Medico-Legal cases.

Dr. p.GCpI KRISI{NA

Designation: DCHS,
RAJAI-IMUNDRY
Regn.

No

13149