Patient Name: | Maheep singh lodhi |
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UHID: | AIIMSBHPL_BHPL_ML_2331 |
Disease: | wilson Disease |
Estimate Cost of Treatment: |
General Information | |||
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UHID : | AIIMSBHPL_BHPL_ML_2331 | ||
Full Name : | Maheep singh lodhi | ||
Mobile Number : | 7898477419 | ||
Email Id : | rajpootmulanrajpoot@gmail.com | ||
Date of Registration : | 2012-06-13 | Make a Donation | |
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 | |||
Annual Income of Family : | Estimate Cost of Treatment : | ||
Fund Required : | Disease : | wilson Disease |