भारत सरकार
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Government of India
Patient Name: Steve michael rosario
UHID: ICHHCE_CHEN_SR_2310
Disease: Adrenoleukodystrophy
Estimate Cost of Treatment: 5,000,000
General Information
UHID : ICHHCE_CHEN_SR_2310
Full Name : Steve michael rosario
Mobile Number : 9176676753
Email Id : benjamin.prabu7@gmai.com
Date of Registration : 2014-10-08
Gender : Male State of Domicile : Tamil Nadu
Father's Name : Prabu V. Father's Mobile Number : 9176676753
Mother's Name : Alice Vijaya mary F. Mother's Mobile Number : 9176342772
Name of Guardian/Care Taker: Mobile No. of Guardian/Care Taker : 0
Home Address (Current) Correspondance Address
Address Line 1 : No. 215/38, Thiyagaraja puram, 5th street, Address Line 1 : No. 215/38, Thiyagaraja puram, 5th street,
Address Line 2 : tollgate Address Line 2 : tolgate
City/Town : chennai City/Town : chennai
State/Province : Tamil Nadu State/Province : Tamil Nadu
Zipcode : 600019 Zipcode : 600019
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 : 5,000,000 BPL Card : Yes
Estimate Cost of Treatment : 5,000,000 Fund Required : Disease : Adrenoleukodystrophy
Disease : Adrenoleukodystrophy

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