Kamareddy District follow up case: Patient Pipavath Alakanandini (F/10), is second issue of a consanguineous couple. She is unable to hear and speak at age appropriately. Birth cry is normal. Patient shown earlier at Govt. ENT Hospital, Koti in 2017. BERA done on 24.4.17. diagnosed as Bilateral profound loss of hearing. Hearing aid trail done and fit. Due to illiteracy and ignorance, patient not used the hearing aid. Sri Limbadri, Convenor, Kamareddy Samithi is identified the patient in his school and brought to Hyderabad for medical evaluation. Dr. K. RamBabu, MS ENT Apollo Hospital, Jubilee Hills, Hyderabad examined the patient on 22.6.23 and advised for PTA and HAT. Patient does not cooperate for PTA and inconsistent responses recorded. However, BERA ( Brain Stemauditory Evoked Potential test) is done. Its impression is Bilateral Profound Hearing loss for both ears. Hearing aid trial done. On trial basis for a period of one month, one hearing aid is provided to the patient. SAHI provided hearing aid costing Rs. 45,000/-to the patient. Doctor explained how to use the hearing aid and advised to come for review after one month. Services rendered by the medical team are placed at the Divine Lotus feet of our Beloved Swamy. G. Bhaskara Rao State Medical Incharge SSSSO, TS