भारत सरकार
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Government of India
Patient Name: JANVI CHOURASIYA
UHID: AIIMSBHPL_BHPL_JC_2855
Disease: MPS 1(H)
Estimate Cost of Treatment: 12,500,000
General Information
UHID : AIIMSBHPL_BHPL_JC_2855
Full Name : JANVI CHOURASIYA
Mobile Number : 8966842176
Email Id : santoshisantoshi144@gmail.com
Date of Registration : 2011-10-07
Gender : Male State of Domicile : Madhya Pradesh
Father's Name : suraj prasad chourasiya Father's Mobile Number : 0
Mother's Name : santoshi chourasiya Mother's Mobile Number : 9926642176
Name of Guardian/Care Taker: Mobile No. of Guardian/Care Taker : 0
Home Address (Current) Correspondance Address
Address Line 1 : Vallabh Bhawan Address Line 1 : Vallabh Bhawan
Address Line 2 : Bheem nagar Address Line 2 : Bheem nagar
City/Town : Bhopal City/Town : Bhopal
State/Province : Madhya Pradesh State/Province : Madhya Pradesh
Zipcode : 462004 Zipcode : 462004
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 : 12,500,000 BPL Card : Yes
Estimate Cost of Treatment : 12,500,000 Fund Required : Disease : MPS 1(H)
Disease : MPS 1(H)

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