भारत सरकार
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Government of India
Patient Name: MOHAMMAD MOOSA KHAN
UHID: AIIMSBHPL_BHPL_MK_2852
Disease: Duchenne Muscular Dystrophy
Estimate Cost of Treatment: 33,000,000
General Information
UHID : AIIMSBHPL_BHPL_MK_2852
Full Name : MOHAMMAD MOOSA KHAN
Mobile Number : 9300045482
Email Id : rehanmohammad0112@gmail.com
Date of Registration : 2017-05-23
Gender : Male State of Domicile : Madhya Pradesh
Father's Name : MOHAMMAD MEHFOOZ KHAN Father's Mobile Number : 9300045482
Mother's Name : ARSHI KHAN Mother's Mobile Number : 7566333383
Name of Guardian/Care Taker: Mobile No. of Guardian/Care Taker : 0
Home Address (Current) Correspondance Address
Address Line 1 : HOUSE NO 58 GALI NO 2 Address Line 1 : HOUSE NO 58 GALI NO 2
Address Line 2 : SILAWATPURA Address Line 2 : SILAWATPURA
City/Town : BHOPAL City/Town : BHOPAL
State/Province : Madhya Pradesh State/Province : Madhya Pradesh
Zipcode : 462001 Zipcode : 462001
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 : 33,000,000 BPL Card : Yes
Estimate Cost of Treatment : 33,000,000 Fund Required : Disease : Duchenne Muscular Dystrophy
Disease : Duchenne Muscular Dystrophy

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