| Claim Details |
| District Name | Visakhapatnam |
| Mandal Name | S Rayavaram |
| Claim Code | 24031500102 |
| Policy No | 517259 |
| Lic / India First ID | SNF523755 |
| Appno No. | 01034019018010105901 |
| Policy Holder Name | Kasulamma peddurti |
| Father/Husband Name | suribabu |
| Loan Amount | 20000.00 |
| Incident Date | 10/04/2014 |
| Incident Place | Thimmapuram |
| Cause | Fever |
| Status | Cheque/DD Received from LIC |