भारत सरकार
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Government of India
Patient Name: b/o.Christina Evanjalin v
UHID: ICHHCE_CHEN_BV_3011
Disease: Other
Estimate Cost of Treatment: 5,000,000
General Information
UHID : ICHHCE_CHEN_BV_3011
Full Name : b/o.Christina Evanjalin v
Mobile Number : 8110098372
Email Id :
Date of Registration : 2018-11-16
Gender : Male State of Domicile : Tamil Nadu
Father's Name : Victor jesuraja E Father's Mobile Number : 8110098372
Mother's Name : Priya P Mother's Mobile Number : 8110098372
Name of Guardian/Care Taker: Mobile No. of Guardian/Care Taker : 0
Home Address (Current) Correspondance Address
Address Line 1 : 3/50 A,Nadu street pennakonam po Address Line 1 : 3/50 a,nadu street pennakonam po
Address Line 2 : kunnam t.k Address Line 2 : kunnam tk
City/Town : perambalur City/Town : perambalur
State/Province : Tamil Nadu State/Province : Tamil Nadu
Zipcode : 621108 Zipcode : 621108
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 : Other
Disease : Other

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