| Claim Details |
| District Name | Kurnool |
| Mandal Name | Punyavathi Pattana Mahila Sama |
| Claim Code | 24131600078 |
| Policy No | 517262 |
| Lic / India First ID | SNL847862 |
| Appno No. | 1300720620087-07 |
| Policy Holder Name | raseeda |
| Father/Husband Name | |
| Loan Amount | 25000.00 |
| Incident Date | 15/01/2016 |
| Incident Place | Home |
| Cause | Cancer |
| Status | Forms Received |