| Claim Details |
| District Name | Srikakulam |
| Mandal Name | Santhabommali |
| Claim Code | 24011700400 |
| Policy No | 517107 |
| Lic / India First ID | 1 |
| Appno No. | 01012917020010102612 |
| Policy Holder Name | Vasanti savyakula |
| Father/Husband Name | adhinarayana adhinarayana |
| Loan Amount | 31250 |
| Incident Date | 10/09/2016 |
| Incident Place | |
| Cause | Fever |
| Status | Rejected |