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Government of India

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

Patient Name: Samayra shah
UHID: KEM_BOM_SS_3473
Disease: Gaucher Disease (Type I & III {without significant neurological impairment})
Estimate Cost of Treatment: 2,410,200
General Information
UHID : KEM_BOM_SS_3473
Full Name : Samayra shah
Mobile Number : 6354466448
Email Id :
Date of Registration : 2022-01-12
Gender : Male State of Domicile : Gujarat
Father's Name : Aslam shah Shaban shah Father's Mobile Number : 6354466448
Mother's Name : Shah Taslimabanu Aslam Mother's Mobile Number : 6354466448
Name of Guardian/Care Taker: Mobile No. of Guardian/Care Taker : 0
Home Address (Current) Correspondance Address
Address Line 1 : Mithi khadi Nimbayat, sugra nagar, No 363, Address Line 1 : Mithi khadi Nimbayat, sugra nagar, No 363,
Address Line 2 : Runali Masjid , Kamrunagar chowki Address Line 2 : Runali Masjid , Kamrunagar chowki
City/Town : Surat City/Town : Surat
State/Province : Gujarat State/Province : Gujarat
Zipcode : 394210 Zipcode : 394210
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 : 2,410,200 BPL Card : Yes
Estimate Cost of Treatment : 2,410,200 Fund Required : Disease : Gaucher Disease (Type I & III {without significant neurological impairment})
Disease : Gaucher Disease (Type I & III {without significant neurological impairment})

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