Patient Name: |
Tiya Jain |
|---|---|
UHID: |
KEM_BOM_TJ_3024 |
Disease: |
wilson Disease |
Estimate Cost of Treatment: |
220,825 |
| General Information | |||
|---|---|---|---|
| UHID : | KEM_BOM_TJ_3024 | ![]() |
|
| Full Name : | Tiya Jain | ||
| Mobile Number : | 9769999717 | ||
| Email Id : | ketan717@yahoo.co.in | ||
| Date of Registration : | 2014-11-22 | Make a Donation | |
| Gender : | Male | State of Domicile : | Maharashtra |
| Father's Name : | Ketan Jain | Father's Mobile Number : | 9769999717 |
| Mother's Name : | Nikisha Jain | Mother's Mobile Number : | 9769999717 |
| Name of Guardian/Care Taker: | Ketan Jain | Mobile No. of Guardian/Care Taker : | 9769999717 |
| Home Address (Current) | Correspondance Address | ||
| Address Line 1 : | 112, Neminath Darshan building ,A wing | Address Line 1 : | 112, Neminath Darshan building ,A wing |
| Address Line 2 : | 604, Khadak road,Bhiwandi | Address Line 2 : | 604, Khadak road,Bhiwandi |
| City/Town : | Mumbai | City/Town : | Mumbai |
| State/Province : | Maharashtra | State/Province : | Maharashtra |
| Zipcode : | 421308 | Zipcode : | 421308 |
| Country : | India | Country : | India |
| Details | |||
| Annual Income of Family : | Estimate Cost of Treatment : | 220,825 | |
| Fund Required : | Disease : | wilson Disease | |