| Claim Details |
| District Name | Visakhapatnam |
| Mandal Name | S Rayavaram |
| Claim Code | 24031500078 |
| Policy No | 517259 |
| Lic / India First ID | SNF254437 |
| Appno No. | 01034006005020201803 |
| Policy Holder Name | Bullamma pochina |
| Father/Husband Name | musali |
| Loan Amount | 7500.00 |
| Incident Date | 02/04/2015 |
| Incident Place | Penugollu |
| Cause | Fever |
| Status | Cheque/DD Received from LIC |