Government of Andhra Pradesh

CERTIFICATE FOR PERSON WITH DISABILITY

(Issued under the authority vide G.O.Ms.No.35 HEALTH, MEDICAL AND FAMILY WELFARE (A) DEPARTMENT dt.10.04.2018
)

Medical Board: District Hospital, Rajamahendravaram

ID No.of Person with Disability: 04041810480000142

Date of Issue: 02/12/2020

This is certified that Smt Yenugupalli Ramayamma, W /o Ganga Raju, Female , age 60 years, resident of H.No.#58-17-7, 48th Ward
Habitation, 48th Ward Village, Rajahmundry (urban) Mandal, East Godavari District, is suffering from disability of the following category:-
Physical(Locomotor/Orthopaedic) Disability.
The disability is in relation to her : Bilateral Lower Limb. Impaired reach.
Sub-type of disability :Post Traumatic Sequel-Limbs.
POST TRAUMATIC. Re-assessment of this case is
Percentage of disability in her case is 70% [Seventy percent]. She meets the following physical requirements for discharge of her duties.
F-can perform work by manipulating with fingers,B-can perform work by bending,S-can perform work by sitting,ST-can perform work by
standing,RW-can perform work by reading and writing.
Identification Marks of Person with Disability:-
a)A Mole On The Right Hand .
b)A Mole On The Lift Hend .

Signature Signature Signature

Dr.P.Nalini Mohan Dr.CH.ANAND KUMAR Dr. G.Soma Sundara Rao
MBBS,DO MBBS,DCH MS(GS)
Civil Surgeon Specialist Civil Assistant Surgeon Chairman, Medical Board
Regn.No : 16842 Regn.No : 48721 Regn.No : 15130

Signature Not Verified

Digitally signed by G
SOMASUNDARA RAO
Date: 2020.12.02
12:16:31 IST