भारत सरकार
|
Government of India

Digital Portal for Crowdfunding & Voluntary donations for Patients of Rare Diseases

Patient Name: Azlan Shaikh
UHID: KEM_BOM_AS_3414
Disease: Nieman Pick Disease Type A
Estimate Cost of Treatment: 15,362,800
General Information
UHID : KEM_BOM_AS_3414
Full Name : Azlan Shaikh
Mobile Number : 9820402473
Email Id :
Date of Registration : 2023-12-28
Gender : Male State of Domicile : Maharashtra
Father's Name : Asif Shaikh Father's Mobile Number : 9820402473
Mother's Name : Rajiya Shaikh Mother's Mobile Number : 9820402473
Name of Guardian/Care Taker: Mobile No. of Guardian/Care Taker : 0
Home Address (Current) Correspondance Address
Address Line 1 : 1338,Near Joshna kirana store, Ghadge nagar, Address Line 1 : 1338,Near Joshna kirana store, Ghadge nagar,
Address Line 2 : Ambarnath west Address Line 2 : Ambarnath west
City/Town : Thane City/Town : Thane
State/Province : Maharashtra State/Province : Maharashtra
Zipcode : 421505 Zipcode : 421505
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 : 15,362,800 BPL Card : Yes
Estimate Cost of Treatment : 15,362,800 Fund Required : Disease : Nieman Pick Disease Type A
Disease : Nieman Pick Disease Type A

Images

Videos