भारत सरकार
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Government of India
Patient Name: Arshiya Chandavanwala
UHID: KEM_BOM_AC_2238
Disease: Spinal Muscular Atrophy
Estimate Cost of Treatment: 17,500,000
General Information
UHID : KEM_BOM_AC_2238
Full Name : Arshiya Chandavanwala
Mobile Number : 9898304782
Email Id : Humayu_chhipa@yahoo.com
Date of Registration : 2016-10-05
Gender : Male State of Domicile : Gujarat
Father's Name : Humayu Chandavanwala Father's Mobile Number : 9898304782
Mother's Name : Misbah Chandavanwala Mother's Mobile Number : 9974015614
Name of Guardian/Care Taker: Mobile No. of Guardian/Care Taker : 0
Home Address (Current) Correspondance Address
Address Line 1 : Astoria chakla kazis dhabha Address Line 1 : Astoria chakla kazis dhabha
Address Line 2 : Near madressa masjid jamalpur Address Line 2 : Near madressa masjid jamalpur
City/Town : Ahmedabad City/Town : Ahmedabad
State/Province : Gujarat State/Province : Gujarat
Zipcode : 380001 Zipcode : 380001
Country : India Country : India
Details
Patient Proof ID : Patient ID Proof Upload : View file
Supporting (Father's/Mother's/Guardian/Care Taker)ID Proof : Supporting ID Proof Upload :
Annual Income of Family : Estimate Cost of Treatment : 17,500,000 BPL Card : Yes
Estimate Cost of Treatment : 17,500,000 Fund Required : Disease : Spinal Muscular Atrophy
Disease : Spinal Muscular Atrophy

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