| Claim Details |
| District Name | Visakhapatnam |
| Mandal Name | Padmanabham |
| Claim Code | 24031500079 |
| Policy No | 517259 |
| Lic / India First ID | OSNFAP17950 |
| Appno No. | 01032608012010105603 |
| Policy Holder Name | Ramulamma sambangi |
| Father/Husband Name | appayya |
| Loan Amount | 19840.00 |
| Incident Date | 12/10/2014 |
| Incident Place | Padmanabham |
| Cause | Fever |
| Status | Cheque/DD Received from LIC |