भारत सरकार
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Government of India
Patient Name: Vinaaya Thakkar
UHID: KEM_BOM_VT_2265
Disease: Cystic Fibrosis
Estimate Cost of Treatment: 1
General Information
UHID : KEM_BOM_VT_2265
Full Name : Vinaaya Thakkar
Mobile Number : 9662055797
Email Id : suditi.shah@gmail.com
Date of Registration : 2019-04-10
Gender : Male State of Domicile : Gujarat
Father's Name : Munjal Thakkar Father's Mobile Number : 9925032519
Mother's Name : Suditi Thakkar Mother's Mobile Number : 9662055797
Name of Guardian/Care Taker: Mobile No. of Guardian/Care Taker : 0
Home Address (Current) Correspondance Address
Address Line 1 : 9, Shivam Enclave, Atmajyoti Ashram Road Address Line 1 : 9, Shivam Enclave, Atmajyoti Ashram Road
Address Line 2 : Near Citizen society, Ellora Park Address Line 2 : Near Citizen society, Ellora Park
City/Town : Vadodara City/Town : Vadodara
State/Province : Gujarat State/Province : Gujarat
Zipcode : 390023 Zipcode : 390023
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 : 1 BPL Card : Yes
Estimate Cost of Treatment : 1 Fund Required : Disease : Cystic Fibrosis
Disease : Cystic Fibrosis

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