Patient Name: |
Param Pipaliya |
|---|---|
UHID: |
KEM_BOM_PP_3026 |
Disease: |
--Select Disease-- |
Estimate Cost of Treatment: |
18,883,731 |
| General Information | |||
|---|---|---|---|
| UHID : | KEM_BOM_PP_3026 | ![]() |
|
| Full Name : | Param Pipaliya | ||
| Mobile Number : | 7666911240 | ||
| Email Id : | |||
| Date of Registration : | 2011-08-31 | Make a Donation | |
| Gender : | Male | State of Domicile : | Maharashtra |
| Father's Name : | Nilesh Pipaliya | Father's Mobile Number : | 7666911240 |
| Mother's Name : | Aarti Pipaliya | Mother's Mobile Number : | 7666911240 |
| Name of Guardian/Care Taker: | Nilesh | Mobile No. of Guardian/Care Taker : | 7666911240 |
| Home Address (Current) | Correspondance Address | ||
| Address Line 1 : | 304 Milan mandir ,Ramchandra lane | Address Line 1 : | 304 Milan mandir ,Ramchandra lane |
| Address Line 2 : | Malad west | Address Line 2 : | Malad west |
| City/Town : | Mumbai | City/Town : | Mumbai |
| State/Province : | Maharashtra | State/Province : | Maharashtra |
| Zipcode : | 400064 | Zipcode : | 400064 |
| Country : | India | Country : | India |
| Details | |||
| Annual Income of Family : | Estimate Cost of Treatment : | 18,883,731 | |
| Fund Required : | Disease : | --Select Disease-- | |