भारत सरकार
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Government of India
Patient Name: DIVY NAGAR
UHID: AIIMSBHPL_BHPL_DN_3007
Disease: Other
Estimate Cost of Treatment: 30,000
General Information
UHID : AIIMSBHPL_BHPL_DN_3007
Full Name : DIVY NAGAR
Mobile Number : 8269962546
Email Id : SUMITNAGAR826@GMAIL.COM
Date of Registration : 2021-09-22
Gender : Male State of Domicile : Madhya Pradesh
Father's Name : SUMIT NAGAR Father's Mobile Number : 7224022423
Mother's Name : POOJA NAGAR Mother's Mobile Number : 8269962546
Name of Guardian/Care Taker: Mobile No. of Guardian/Care Taker : 0
Home Address (Current) Correspondance Address
Address Line 1 : DAMOD NAGAR Address Line 1 : DAMOD NAGAR
Address Line 2 : NOORGANJ Address Line 2 : NOORGANJ
City/Town : RAISEN City/Town : RAISEN
State/Province : Madhya Pradesh State/Province : Madhya Pradesh
Zipcode : 464993 Zipcode : 464993
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 : 30,000 BPL Card : Yes
Estimate Cost of Treatment : 30,000 Fund Required : Disease : Other
Disease : Other

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