भारत सरकार
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Government of India
Patient Name: Mitansh jain A
UHID: ICHHCE_CHEN_MA_3318
Disease: Other
Estimate Cost of Treatment: 5,000,000
General Information
UHID : ICHHCE_CHEN_MA_3318
Full Name : Mitansh jain A
Mobile Number : 9840439965
Email Id :
Date of Registration : 2023-03-07
Gender : Male State of Domicile : Tamil Nadu
Father's Name : Anish jain A Father's Mobile Number : 9840439965
Mother's Name : Monica B Mother's Mobile Number : 9840439965
Name of Guardian/Care Taker: Mobile No. of Guardian/Care Taker : 0
Home Address (Current) Correspondance Address
Address Line 1 : 123/324 mpm Street Besides med plus Address Line 1 : 123/324 mpm Street Besides med plus
Address Line 2 : perambur Address Line 2 : perambur
City/Town : vysarpadi City/Town : vysarpadi
State/Province : Tamil Nadu State/Province : Tamil Nadu
Zipcode : 600039 Zipcode : 600039
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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