|  Patient Name: | RAJVEER LALORIYA | 
|---|---|
|  UHID: | AIIMSBHPL_BHPL_RL_2853 | 
|  Disease: | Duchenne Muscular Dystrophy | 
|  Estimate Cost of Treatment: | 33,000,000 | 
| General Information | |||
|---|---|---|---|
| UHID : | AIIMSBHPL_BHPL_RL_2853 |  | |
| Full Name : | RAJVEER LALORIYA | ||
| Mobile Number : | 8817231758 | ||
| Email Id : | rajvarma574@gmail.com | ||
| Date of Registration : | 2015-08-28 | Make a Donation | |
| Gender : | Male | State of Domicile : | Madhya Pradesh | 
| Father's Name : | RAJESH LALORIYA | Father's Mobile Number : | 6261327236 | 
| Mother's Name : | KANCHAN LALORIYA | Mother's Mobile Number : | 8226042185 | 
| Name of Guardian/Care Taker: | Mobile No. of Guardian/Care Taker : | 0 | |
| Home Address (Current) | Correspondance Address | ||
| Address Line 1 : | POST JHAKLAY | Address Line 1 : | POST JHAKLAY | 
| Address Line 2 : | TEHSIL SEONI MALWA | Address Line 2 : | TEHSIL SEONI MALWA | 
| City/Town : | HOSHANGABAD | City/Town : | HOSHANGABAD | 
| State/Province : | Madhya Pradesh | State/Province : | Madhya Pradesh | 
| Zipcode : | 461223 | Zipcode : | 46 | 
| Country : | India | Country : | India | 
| Details | |||
| Annual Income of Family : | Estimate Cost of Treatment : | 33,000,000 | |
| Fund Required : | Disease : | Duchenne Muscular Dystrophy | |