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Government of India

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Patient Name: SOM PUROHIT
UHID: AIIMSBHPL_BHPL_SP_3303
Disease: Duchenne Muscular Dystrophy
Estimate Cost of Treatment: 42,125,800
General Information
UHID : AIIMSBHPL_BHPL_SP_3303
Full Name : SOM PUROHIT
Mobile Number : 9589316208
Email Id : Mohanmuraripurohit@gmail.com
Date of Registration : 2014-09-09
Gender : Male State of Domicile : Madhya Pradesh
Father's Name : MOHAN MURARI Father's Mobile Number : 9165265687
Mother's Name : RACHNA PUROHIT 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 : 289 Address Line 1 : 289
Address Line 2 : Gram malhargarh Address Line 2 : Gram malhargarh
City/Town : Ashok Nagar City/Town : Ashok Nagar
State/Province : Madhya Pradesh State/Province : Madhya Pradesh
Zipcode : 473443 Zipcode : 473443
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 : 42,125,800 BPL Card : Yes
Estimate Cost of Treatment : 42,125,800 Fund Required : Disease : Duchenne Muscular Dystrophy
Disease : Duchenne Muscular Dystrophy

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