| Claim Details |
| District Name | East Godavari |
| Mandal Name | Kotananduru |
| Claim Code | 24041400012 |
| Policy No | 517259 |
| Lic / India First ID | SNF154009 |
| Appno No. | 01040510014010203104 |
| Policy Holder Name | Nookalamma mortha |
| Father/Husband Name | konda |
| Loan Amount | 15000.00 |
| Incident Date | 25/09/2014 |
| Incident Place | sr peta |
| Cause | Fever |
| Status | Cheque/DD Received from LIC |