Patient Name: |
SAURABH RAJPUT |
|---|---|
UHID: |
AIIMSBHPL_BHPL_SR_2325 |
Disease: |
Cystic Fibrosis |
Estimate Cost of Treatment: |
50,400 |
| General Information | |||
|---|---|---|---|
| UHID : | AIIMSBHPL_BHPL_SR_2325 | ![]() |
|
| Full Name : | SAURABH RAJPUT | ||
| Mobile Number : | 7723812056 | ||
| Email Id : | RAJARAMRAJPOOT@GMAIL.COM | ||
| Date of Registration : | 2013-06-14 | Make a Donation | |
| Gender : | Male | State of Domicile : | Madhya Pradesh |
| Father's Name : | RAJARAM RAJPUT | Father's Mobile Number : | 6260745178 |
| Mother's Name : | JASODA RAJPUT | Mother's Mobile Number : | 0 |
| Name of Guardian/Care Taker: | Mobile No. of Guardian/Care Taker : | 0 | |
| Home Address (Current) | Correspondance Address | ||
| Address Line 1 : | Majra lakha purwa, panchayat chhapar | Address Line 1 : | Majra lakha purwa, panchayat chhapar |
| Address Line 2 : | himmatpura | Address Line 2 : | himmatpura |
| City/Town : | chhatarpur | City/Town : | chhatarpur |
| State/Province : | Madhya Pradesh | State/Province : | Madhya Pradesh |
| Zipcode : | 471408 | Zipcode : | 471408 |
| Country : | India | Country : | India |
| Details | |||
| Annual Income of Family : | Estimate Cost of Treatment : | 50,400 | |
| Fund Required : | Disease : | Cystic Fibrosis | |