भारत सरकार
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Government of India
Patient Name: SHIVAYE MALIVYA
UHID: AIIMSBHPL_BHPL_SM_3010
Disease: X Linked Agammaglobulinemia
Estimate Cost of Treatment: 240,000
General Information
UHID : AIIMSBHPL_BHPL_SM_3010
Full Name : SHIVAYE MALIVYA
Mobile Number : 8720841015
Email Id : Malviyabalram243@gmail.com
Date of Registration : 2021-09-18
Gender : Male State of Domicile : Madhya Pradesh
Father's Name : BALRAM MALVIYA Father's Mobile Number : 8815505632
Mother's Name : SHEELA MALVIYA Mother's Mobile Number : 8720841015
Name of Guardian/Care Taker: Mobile No. of Guardian/Care Taker : 0
Home Address (Current) Correspondance Address
Address Line 1 : 16 EKARH Address Line 1 : 16 EKARH
Address Line 2 : BAGHMUGALIYA Address Line 2 : BAGHMUGALIYA
City/Town : BHOPAL City/Town : BHOPAL
State/Province : Madhya Pradesh State/Province : Madhya Pradesh
Zipcode : 462043 Zipcode : 462043
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 : 240,000 BPL Card : Yes
Estimate Cost of Treatment : 240,000 Fund Required : Disease : X Linked Agammaglobulinemia
Disease : X Linked Agammaglobulinemia

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