भारत सरकार
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Government of India
Patient Name: Parth Bonde
UHID: KEM_BOM_PB_3474
Disease: Cystic Fibrosis
Estimate Cost of Treatment: 150,000
General Information
UHID : KEM_BOM_PB_3474
Full Name : Parth Bonde
Mobile Number : 9822521966
Email Id :
Date of Registration : 2015-08-19
Gender : Male State of Domicile : Maharashtra
Father's Name : Satish Bonde Father's Mobile Number : 9822521966
Mother's Name : Pratibha Bonde Mother's Mobile Number : 0
Name of Guardian/Care Taker: Mobile No. of Guardian/Care Taker : 0
Home Address (Current) Correspondance Address
Address Line 1 : Flat No.303, Sai Villa, Pinaki colony, Address Line 1 :
Address Line 2 : Chavisawadi, Alandi Devachi, Pune, Maharashtra Address Line 2 :
City/Town : Pune City/Town :
State/Province : Maharashtra State/Province : --Select State--
Zipcode : 412105 Zipcode : 0
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 : 150,000 BPL Card : Yes
Estimate Cost of Treatment : 150,000 Fund Required : Disease : Cystic Fibrosis
Disease : Cystic Fibrosis

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