{INSURER_NAME}
| Card No | : | {POLICY_NO} |
| Name | : | {NAME} |
| Gender | : | {GENDER} |
| age | : | {AGE} years |
| Employee code | : | {EMP_ID} |
| Corporate name | : | {CORPORATE_NAME} |
| Valid form | : | {POLICY_DATE} |
| Card No | : | {POLICY_NO} |
| Name | : | {NAME} |
| Gender | : | {GENDER} |
| age | : | {AGE} years |
| Employee code | : | {EMP_ID} |
| Corporate name | : | {CORPORATE_NAME} |
| Valid form | : | {POLICY_DATE} |