| Claim Details |
| District Name | Vizianagaram |
| Mandal Name | Gummalakshmipuram |
| Claim Code | 24021700123 |
| Policy No | 517262 |
| Lic / India First ID | OSNLAP60096 |
| Appno No. | 01020210071010100105 |
| Policy Holder Name | addi nimmala |
| Father/Husband Name | jarbi |
| Loan Amount | 19840.00 |
| Incident Date | 16/11/2017 |
| Incident Place | kapuguda,1_3 village chemuduguda panchyat death |
| Cause | Fever |
| Status | Cheque/DD Received from LIC |