भारत सरकार
|
Government of India
Patient Name: Mishtyben Parmar
UHID: KEM_BOM_MP_2341
Disease: Spinal Muscular Atrophy
Estimate Cost of Treatment: 17,500,000
General Information
UHID : KEM_BOM_MP_2341
Full Name : Mishtyben Parmar
Mobile Number : 8780216620
Email Id : jignesh99132@gmail.com
Date of Registration : 2018-08-13
Gender : Male State of Domicile : Gujarat
Father's Name : Jigneshkumar Parmar Father's Mobile Number : 8780216620
Mother's Name : Ansoyaben Parmar Mother's Mobile Number : 8780216620
Name of Guardian/Care Taker: Mishtyben Parmar Mobile No. of Guardian/Care Taker : 8780216620
Home Address (Current) Correspondance Address
Address Line 1 : B1/30, ground floor, Sukh Shanti, Address Line 1 : B1/30, ground floor, Sukh Shanti,
Address Line 2 : New VIP road, Vadodara Address Line 2 : New VIP road, Vadodara
City/Town : Vadodara City/Town : Vadodara
State/Province : Gujarat State/Province : Gujarat
Zipcode : 390022 Zipcode : 390022
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 : 17,500,000 BPL Card : Yes
Estimate Cost of Treatment : 17,500,000 Fund Required : Disease : Spinal Muscular Atrophy
Disease : Spinal Muscular Atrophy

Images

Videos