| Insured Name | Policy No | Payment Status | Claim No | Transaction No | In Payment Of | Payee Name | Summary Amount |
|---|---|---|---|---|---|---|---|
| ASIA-PACIFIC DEVELOPMENT BANK PLC. | CHC/PPI/CR1-1034 |
Full Payment | CL/CHC/PPI/20974 | CL/CHC/PPI/20974-01 |
IN-PATIENT | Princess Clinic | 205.59 |