भारत सरकार
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Government of India
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
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
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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