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Government of India

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Patient Name: IQRA FATIMA
UHID: AIIMSBHPL_BHPL_IF_2857
Disease: Gaucher Disease (Type I & III {without significant neurological impairment})
Estimate Cost of Treatment: 2,500,000
General Information
UHID : AIIMSBHPL_BHPL_IF_2857
Full Name : IQRA FATIMA
Mobile Number : 9826909040
Email Id : moinhasan23@gmail.com
Date of Registration : 2023-11-03
Gender : Male State of Domicile : Madhya Pradesh
Father's Name : moin hasan khan Father's Mobile Number : 9826909040
Mother's Name : taiba naaz khan Mother's Mobile Number : 7869585989
Name of Guardian/Care Taker: Mobile No. of Guardian/Care Taker : 0
Home Address (Current) Correspondance Address
Address Line 1 : ward no 09 Address Line 1 : ward no 09
Address Line 2 : DURGA MOHALLA Address Line 2 : DURGA MOHALLA
City/Town : RATLAM City/Town : RATLAM
State/Province : Madhya Pradesh State/Province : Madhya Pradesh
Zipcode : 457114 Zipcode : 457114
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 : 2,500,000 BPL Card : Yes
Estimate Cost of Treatment : 2,500,000 Fund Required : Disease : Gaucher Disease (Type I & III {without significant neurological impairment})
Disease : Gaucher Disease (Type I & III {without significant neurological impairment})

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