| Claim Details |
| District Name | Visakhapatnam |
| Mandal Name | Atchutapuram |
| Claim Code | 24031500114 |
| Policy No | 517259 |
| Lic / India First ID | SNF138462 |
| Appno No. | 01034305005010100706 |
| Policy Holder Name | Manikyam pengawta |
| Father/Husband Name | ramanaidu |
| Loan Amount | 10000.00 |
| Incident Date | 10/07/2015 |
| Incident Place | jaggannapeta |
| Cause | Fever |
| Status | Cheque/DD Received from LIC |