| Insured Name | Policy No | Payment Status | Claim No | Transaction No | In Payment Of | Payee Name | Summary Amount |
|---|---|---|---|---|---|---|---|
| MENGLY J. QUACH EDUCATION PLC. | PA/PPI/C-48471 |
Full Payment | CL/PA/PPI/3962 | CL/PA/PPI/3962-02 |
ACCIDENTAL MEDICAL EXPENSE | ORIENDA INTERNATIONAL HOSPITAL CO.,LTD. | 54.60 |