| Claim Details |
| District Name | Vizianagaram |
| Mandal Name | Parvathipuram |
| Claim Code | 24021900263 |
| Policy No | 517262 |
| Lic / India First ID | OSNLAP161603 |
| Appno No. | 01020617033010102202 |
| Policy Holder Name | Dombayamma arika |
| Father/Husband Name | ruppayya |
| Loan Amount | 50000.00 |
| Incident Date | 17/11/2019 |
| Incident Place | DonkalakothaPatnam Village Buduruvada Panchayithi |
| Cause | Fever |
| Status | Rejected |