भारत सरकार
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Government of India
Patient Name: Aaisha Nakhuda
UHID: KEM_BOM_AN_3417
Disease: Cystic Fibrosis
Estimate Cost of Treatment: 200,000
General Information
UHID : KEM_BOM_AN_3417
Full Name : Aaisha Nakhuda
Mobile Number : 9879074684
Email Id :
Date of Registration : 2018-07-13
Gender : Male State of Domicile : Gujarat
Father's Name : Nakhuda malik Father's Mobile Number : 9879074684
Mother's Name : Vahevaria Humera Mother's Mobile Number : 9879074684
Name of Guardian/Care Taker: Mobile No. of Guardian/Care Taker : 0
Home Address (Current) Correspondance Address
Address Line 1 : Noor Fali Address Line 1 : Noor Fali
Address Line 2 : Khoja Gate Address Line 2 : Khoja Gate
City/Town : Jamnagar City/Town : Jamnagar
State/Province : Gujarat State/Province : Gujarat
Zipcode : 361001 Zipcode : 361001
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 : 200,000 BPL Card : Yes
Estimate Cost of Treatment : 200,000 Fund Required : Disease : Cystic Fibrosis
Disease : Cystic Fibrosis

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