| Insured Name | Policy No | Payment Status | Claim No | Transaction No | In Payment Of | Payee Name | Summary Amount |
|---|---|---|---|---|---|---|---|
| ROYAL RESIDENCE HOTELS AND RESORTS CO., LTD. | CHC/PPI/C-1067 |
Full Payment | CL/CHC/PPI/21031 | CL/CHC/PPI/21031-01 |
IN-PATIENT | LC Health Center Co ltd | 134.24 |