भारत सरकार
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Government of India
Patient Name: SHIVAY GOUR
UHID: AIIMSBHPL_BHPL_SG_2328
Disease: Prader willi syndrome
Estimate Cost of Treatment: 450,000
General Information
UHID : AIIMSBHPL_BHPL_SG_2328
Full Name : SHIVAY GOUR
Mobile Number : 9753901064
Email Id : pankaj.gaur40@gmail.com
Date of Registration : 2019-11-11
Gender : Male State of Domicile : Madhya Pradesh
Father's Name : pankaj kumar gour Father's Mobile Number : 9009529974
Mother's Name : monika gour 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 : post pagdhal Address Line 1 : post pagdhal
Address Line 2 : teh seoni malwa Address Line 2 : teh seoni malwa
City/Town : narmadapuram City/Town : narmadapuram
State/Province : Madhya Pradesh State/Province : Madhya Pradesh
Zipcode : 461223 Zipcode : 461223
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 : 450,000 BPL Card : Yes
Estimate Cost of Treatment : 450,000 Fund Required : Disease : Prader willi syndrome
Disease : Prader willi syndrome

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