भारत सरकार
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Government of India
Patient Name: Siya Patil
UHID: KEM_BOM_SP_2272
Disease: Spinal Muscular Atrophy
Estimate Cost of Treatment: 17,500,000
General Information
UHID : KEM_BOM_SP_2272
Full Name : Siya Patil
Mobile Number : 8976557499
Email Id : devenpatil1986@gmail.com
Date of Registration : 2018-05-22
Gender : Male State of Domicile : Maharashtra
Father's Name : Devendra Patil Father's Mobile Number : 8976557499
Mother's Name : Pranali Patil Mother's Mobile Number : 8779961038
Name of Guardian/Care Taker: Mobile No. of Guardian/Care Taker : 0
Home Address (Current) Correspondance Address
Address Line 1 : H. N 1675 Shree Nivas Address Line 1 :
Address Line 2 : Near old Z.P school At Belpada, Jasai Address Line 2 :
City/Town : Panvel City/Town :
State/Province : Maharashtra State/Province : --Select State--
Zipcode : 410206 Zipcode : 0
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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