भारत सरकार
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Government of India
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
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
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 : 18,883,731 BPL Card : Yes
Estimate Cost of Treatment : 18,883,731 Fund Required : Disease : --Select Disease--
Disease : --Select Disease--

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