| Claim Details |
| District Name | Vizianagaram |
| Mandal Name | Kothavalasa |
| Claim Code | 24021700171 |
| Policy No | 517262 |
| Lic / India First ID | SNL1214101 |
| Appno No. | 01023422025030101603 |
| Policy Holder Name | Simma simma |
| Father/Husband Name | chinamahalaxmi |
| Loan Amount | 20000.00 |
| Incident Date | 10/10/2017 |
| Incident Place | Mindivalasa Ramachandrapuram panchyat death |
| Cause | Fever |
| Status | Cheque/DD Received from LIC |