भारत सरकार
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Government of India
Patient Name: REINA S.
UHID: ICHHCE_CHEN_RS_2982
Disease: PHENYLKETONURIA
Estimate Cost of Treatment: 5,000,000
General Information
UHID : ICHHCE_CHEN_RS_2982
Full Name : REINA S.
Mobile Number : 6385314831
Email Id :
Date of Registration : 2021-08-14
Gender : Male State of Domicile : Tamil Nadu
Father's Name : Sivakumar S. Father's Mobile Number : 6385314831
Mother's Name : Dharani S. Mother's Mobile Number : 6385314831
Name of Guardian/Care Taker: Mobile No. of Guardian/Care Taker : 0
Home Address (Current) Correspondance Address
Address Line 1 : No. 123, Pillaiyar koil street, Address Line 1 : No. 123, Pillaiyar koil street,
Address Line 2 : Cheyyanandal , Tachambady Address Line 2 : Cheyyanandal , Tachambady
City/Town : Thiruvannamalai City/Town : Thiruvannamalai
State/Province : Tamil Nadu State/Province : Tamil Nadu
Zipcode : 606902 Zipcode : 606902
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 : 5,000,000 BPL Card : Yes
Estimate Cost of Treatment : 5,000,000 Fund Required : Disease : PHENYLKETONURIA
Disease : PHENYLKETONURIA

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