भारत सरकार
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Government of India
Patient Name: BANU PRAKASH G
UHID: ICHHCE_CHEN_BG_2994
Disease: Other
Estimate Cost of Treatment:
General Information
UHID : ICHHCE_CHEN_BG_2994
Full Name : BANU PRAKASH G
Mobile Number : 8309741299
Email Id :
Date of Registration : 2017-07-09
Gender : Male State of Domicile : Tamil Nadu
Father's Name : SREERAMULU G Father's Mobile Number : 8309741299
Mother's Name : SUNITHA G Mother's Mobile Number : 8309741299
Name of Guardian/Care Taker: Mobile No. of Guardian/Care Taker : 0
Home Address (Current) Correspondance Address
Address Line 1 : 2-19-1 GUNDLAPALLI,THAMBALLAPALLE Address Line 1 : 2-19-1 GUNDLAPALLI,THAMBALLAPALLE
Address Line 2 : MANDAL CHITOR Address Line 2 : MANDAL CHITOR
City/Town : Chittoor City/Town : Chittoor
State/Province : Andhra Pradesh State/Province : Andhra Pradesh
Zipcode : 517418 Zipcode : 517418
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 : BPL Card : Yes
Estimate Cost of Treatment : Fund Required : Disease : Other
Disease : Other

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