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Patient Name: Thamizhselvan S.
UHID: ICHHCE_CHEN_TS_2359
Disease: Duchenne Muscular Dystrophy
Estimate Cost of Treatment: 30,000,000
General Information
UHID : ICHHCE_CHEN_TS_2359
Full Name : Thamizhselvan S.
Mobile Number : 9597162230
Email Id :
Date of Registration : 2017-09-28
Gender : Male State of Domicile : Tamil Nadu
Father's Name : Sathiyaraj K. Father's Mobile Number : 9597162230
Mother's Name : Kousalya S. Mother's Mobile Number : 6369434714
Name of Guardian/Care Taker: Mobile No. of Guardian/Care Taker : 0
Home Address (Current) Correspondance Address
Address Line 1 : No. 1869, Road street, Address Line 1 : No. 1869, Road street,
Address Line 2 : mangalam pudhur Address Line 2 : mangalam pudhur
City/Town : Thiruvannamalai City/Town : Thiruvannamalai
State/Province : Tamil Nadu State/Province : Tamil Nadu
Zipcode : 606752 Zipcode : 606752
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 : 30,000,000 BPL Card : Yes
Estimate Cost of Treatment : 30,000,000 Fund Required : Disease : Duchenne Muscular Dystrophy
Disease : Duchenne Muscular Dystrophy

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