| Claim Details |
| District Name | Vizianagaram |
| Mandal Name | Pusapatirega |
| Claim Code | 24021700172 |
| Policy No | 517262 |
| Lic / India First ID | SNL1886747 |
| Appno No. | 01022522033010100901 |
| Policy Holder Name | Appalasuramma nikki |
| Father/Husband Name | ramu |
| Loan Amount | 25000.00 |
| Incident Date | 28/11/2017 |
| Incident Place | Maharaja hospital vzm pp rega police station fir |
| Cause | Fever |
| Status | Cheque/DD Received from LIC |