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Government of India

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Patient Name: ASMA ANSARI
UHID: AIIMSBHPL_BHPL_AA_3006
Disease: Gaucher Disease (Type I & III {without significant neurological impairment})
Estimate Cost of Treatment: 5,356,008
General Information
UHID : AIIMSBHPL_BHPL_AA_3006
Full Name : ASMA ANSARI
Mobile Number : 8962926123
Email Id : Mohammadsaid12031980@gmai.com
Date of Registration : 2014-07-07
Gender : Male State of Domicile : Madhya Pradesh
Father's Name : SAID ANSARI Father's Mobile Number : 8982266890
Mother's Name : TABASSUM ANSARI Mother's Mobile Number : 8962926123
Name of Guardian/Care Taker: Mobile No. of Guardian/Care Taker : 0
Home Address (Current) Correspondance Address
Address Line 1 : WARD NO 12 Address Line 1 : WARD NO 12
Address Line 2 : SARANGPUR Address Line 2 : SARANGPUR
City/Town : RAJGARH City/Town : RAJGARH
State/Province : Madhya Pradesh State/Province : Madhya Pradesh
Zipcode : 465697 Zipcode : 465697
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 : 5,356,008 BPL Card : Yes
Estimate Cost of Treatment : 5,356,008 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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