भारत सरकार
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Government of India
Patient Name: Reinaa sachin nichani
UHID: ICHHCE_CHEN_RN_2309
Disease: Cystic Fibrosis
Estimate Cost of Treatment: 10,000,000
General Information
UHID : ICHHCE_CHEN_RN_2309
Full Name : Reinaa sachin nichani
Mobile Number : 8056222211
Email Id : snichani@gmail.com
Date of Registration : 2015-08-21
Gender : Male State of Domicile : Tamil Nadu
Father's Name : Sachin Nichani Father's Mobile Number : 8056222211
Mother's Name : Shradha Nichani Mother's Mobile Number : 8056222211
Name of Guardian/Care Taker: Mobile No. of Guardian/Care Taker : 0
Home Address (Current) Correspondance Address
Address Line 1 : No. 4B, Haddows road lane Address Line 1 : No. 4B, Haddows road lane
Address Line 2 : Opp shastri bhavan Nungampakkam Address Line 2 : Opp shastri bhavan Nungampakkam
City/Town : Chennai City/Town : Chennai
State/Province : Tamil Nadu State/Province : Tamil Nadu
Zipcode : 600006 Zipcode : 600006
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 : 10,000,000 BPL Card : Yes
Estimate Cost of Treatment : 10,000,000 Fund Required : Disease : Cystic Fibrosis
Disease : Cystic Fibrosis

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