भारत सरकार
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Government of India
Patient Name: AYUSH C XESS
UHID: AIIMSBHPL_BHPL_AC_3302
Disease: X Linked Agammaglobulinemia
Estimate Cost of Treatment: 5,700,000
General Information
UHID : AIIMSBHPL_BHPL_AC_3302
Full Name : AYUSH C XESS
Mobile Number : 9826352760
Email Id : Ayushchristxess@gmail.com
Date of Registration : 2007-01-13
Gender : Male State of Domicile : Madhya Pradesh
Father's Name : ISAAC XESS Father's Mobile Number : 9424491902
Mother's Name : LOYOLA XESS Mother's Mobile Number : 0
Name of Guardian/Care Taker: Mobile No. of Guardian/Care Taker : 0
Home Address (Current) Correspondance Address
Address Line 1 : HIG 66 Address Line 1 : HIG 66
Address Line 2 : YUGANTAR COLONY , PIPLANI Address Line 2 : YUGANTAR COLONY , PIPLANI
City/Town : BHOPAL City/Town : BHOPAL
State/Province : Madhya Pradesh State/Province : Madhya Pradesh
Zipcode : 462021 Zipcode : 462021
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 : 5,700,000 BPL Card : Yes
Estimate Cost of Treatment : 5,700,000 Fund Required : Disease : X Linked Agammaglobulinemia
Disease : X Linked Agammaglobulinemia

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