भारत सरकार
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Government of India
Patient Name: PALAK KOUR
UHID: AIIMSBHPL_BHPL_PK_3313
Disease: Atypical hemolytic uremic syndrome
Estimate Cost of Treatment: 11,750,000
General Information
UHID : AIIMSBHPL_BHPL_PK_3313
Full Name : PALAK KOUR
Mobile Number : 9589721002
Email Id : Kourmamta906@gmail.com
Date of Registration : 2012-08-27
Gender : Male State of Domicile : Madhya Pradesh
Father's Name : HARVINDER SINGH KOUR Father's Mobile Number : 9691995437
Mother's Name : MAMTA KOUR 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 : 27 Teela jamlpura Address Line 1 : 27 Teela jamlpura
Address Line 2 : Bhopal Address Line 2 : Bhopal
City/Town : Bhopal City/Town : Bhopal
State/Province : Madhya Pradesh State/Province : Madhya Pradesh
Zipcode : 462001 Zipcode : 462001
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 : 11,750,000 BPL Card : Yes
Estimate Cost of Treatment : 11,750,000 Fund Required : Disease : Atypical hemolytic uremic syndrome
Disease : Atypical hemolytic uremic syndrome

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