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Government of India

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Patient Name: Jaishika J
UHID: ICHHCE_CHEN_JJ_3415
Disease: Cystic Fibrosis (Potentiators)
Estimate Cost of Treatment: 5,000,000
General Information
UHID : ICHHCE_CHEN_JJ_3415
Full Name : Jaishika J
Mobile Number : 9791276690
Email Id : Pavithra713@gmail.com
Date of Registration : 2022-06-15
Gender : Male State of Domicile : Tamil Nadu
Father's Name : Jothi Raj J Father's Mobile Number : 9791276690
Mother's Name : pavithra P Mother's Mobile Number : 9791276690
Name of Guardian/Care Taker: Mobile No. of Guardian/Care Taker : 0
Home Address (Current) Correspondance Address
Address Line 1 : No. 140/5, vinayagar koil street Aranmanai Address Line 1 : No. 140/5, vinayagar koil street Aranmanai
Address Line 2 : pudhur Address Line 2 : pudhur
City/Town : Theni City/Town : Theni
State/Province : Tamil Nadu State/Province : Tamil Nadu
Zipcode : 625531 Zipcode : 625531
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 : Cystic Fibrosis (Potentiators)
Disease : Cystic Fibrosis (Potentiators)

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