| Insured Name | Policy No | Payment Status | Claim No | Transaction No | In Payment Of | Payee Name | Summary Amount |
|---|---|---|---|---|---|---|---|
| POLYBUILDING (S) PTE. LTD. | PA/PPI/C-48822 |
Full Payment | CL/PA/PPI/3970 | CL/PA/PPI/3970-01 |
ACCIDENTAL MEDICAL EXPENSE | HOY VORSINH | 65.00 |