भारत सरकार
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Government of India
Patient Name: Maheep singh lodhi
UHID: AIIMSBHPL_BHPL_ML_2331
Disease: wilson Disease
Estimate Cost of Treatment:
General Information
UHID : AIIMSBHPL_BHPL_ML_2331
Full Name : Maheep singh lodhi
Mobile Number : 7898477419
Email Id : rajpootmulanrajpoot@gmail.com
Date of Registration : 2012-06-13
Gender : Male State of Domicile : Madhya Pradesh
Father's Name : raghuveer prasad lodhi Father's Mobile Number : 9981670706
Mother's Name : rajkumari lodhi 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 : ward 12 , gram shyampura Address Line 1 : ward 12 , gram shyampura
Address Line 2 : post sijaura Address Line 2 : post sijaura
City/Town : tikamgarh City/Town : tikamgarh
State/Province : Madhya Pradesh State/Province : Madhya Pradesh
Zipcode : 472115 Zipcode : 472115
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 : BPL Card : Yes
Estimate Cost of Treatment : Fund Required : Disease : wilson Disease
Disease : wilson Disease

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