भारत सरकार
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Government of India
Patient Name: SAURABH RAJPUT
UHID: AIIMSBHPL_BHPL_SR_2325
Disease: Cystic Fibrosis
Estimate Cost of Treatment: 24,000,000
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
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
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 : 24,000,000 BPL Card : Yes
Estimate Cost of Treatment : 24,000,000 Fund Required : Disease : Cystic Fibrosis
Disease : Cystic Fibrosis

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