| Insured Name | Policy No | Payment Status | Claim No | Transaction No | In Payment Of | Payee Name | Summary Amount |
|---|---|---|---|---|---|---|---|
| LIM YO AND ON THE LIVE OF HIS/HER EMPLOYEE | PA/PPI/C-48484 |
Full Payment | CL/PA/PPI/3960 | CL/PA/PPI/3960-01 |
ACCIDENTAL MEDICAL EXPENSE | Orchid Koh Pich Co.LTD | 43.94 |