भारत सरकार
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Government of India
Patient Name: vivian sivaa L V
UHID: ICHHCE_CHEN_VL_3298
Disease: Other
Estimate Cost of Treatment: 5,000,000
General Information
UHID : ICHHCE_CHEN_VL_3298
Full Name : vivian sivaa L V
Mobile Number : 9597090071
Email Id : vinubala005@gmail.com
Date of Registration : 2020-07-17
Gender : Male State of Domicile : Tamil Nadu
Father's Name : lalith vijay M.J Father's Mobile Number : 9597090071
Mother's Name : Vinodhini B Mother's Mobile Number : 9597090071
Name of Guardian/Care Taker: Mobile No. of Guardian/Care Taker : 0
Home Address (Current) Correspondance Address
Address Line 1 : no:49/19 tank bunt road Address Line 1 : no:49/19 tank bunt road
Address Line 2 : oteri Address Line 2 : oteri
City/Town : chennai City/Town : chennai
State/Province : Tamil Nadu State/Province : Tamil Nadu
Zipcode : 600012 Zipcode : 600012
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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