| Insured Name | Policy No | Payment Status | Claim No | Transaction No | In Payment Of | Payee Name | Summary Amount |
|---|---|---|---|---|---|---|---|
| TECHNOVAGE SOLUTION CO.,LTD. | CHC/PPI/CR3-1054 |
Full Payment | CL/CHC/PPI/21158 | CL/CHC/PPI/21158-01 |
Medical Checkup | Rous Bun Pech | 74.75 |