| Claim Details |
| District Name | Visakhapatnam |
| Mandal Name | Payakaraopeta |
| Claim Code | 24031500048 |
| Policy No | 517259 |
| Lic / India First ID | SNF353785 |
| Appno No. | 01033807006010201904 |
| Policy Holder Name | nookalamma nuw |
| Father/Husband Name | chakrayya |
| Loan Amount | 20000.00 |
| Incident Date | 17/06/2014 |
| Incident Place | Payakaraopeta |
| Cause | Fever |
| Status | Cheque/DD Received from LIC |