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Government of India

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Patient Name: Varun A
UHID: ICHHCE_CHEN_VA_2361
Disease: Duchenne Muscular Dystrophy
Estimate Cost of Treatment: 30,000,000
General Information
UHID : ICHHCE_CHEN_VA_2361
Full Name : Varun A
Mobile Number : 7639136382
Email Id :
Date of Registration : 2016-08-26
Gender : Male State of Domicile : Tamil Nadu
Father's Name : Annamalai C. Father's Mobile Number : 7639136382
Mother's Name : Kasthuri A. Mother's Mobile Number : 7639136382
Name of Guardian/Care Taker: Mobile No. of Guardian/Care Taker : 0
Home Address (Current) Correspondance Address
Address Line 1 : No. 106, Kudapattu villege, Rajapalayam post Address Line 1 : No. 106, Kudapattu villege, Rajapalayam post
Address Line 2 : Thirupathur T.K Address Line 2 : Thirupathur T.K
City/Town : Thirupathur City/Town : Thirupathur
State/Province : Tamil Nadu State/Province : Tamil Nadu
Zipcode : 635653 Zipcode : 635653
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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