भारत सरकार
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Government of India
Patient Name: Zeeshan Durvesh
UHID: KEM_BOM_ZD_3476
Disease: Spinal Muscular Atrophy
Estimate Cost of Treatment: 18,054,400
General Information
UHID : KEM_BOM_ZD_3476
Full Name : Zeeshan Durvesh
Mobile Number : 9898700855
Email Id :
Date of Registration : 2017-01-23
Gender : Male State of Domicile : Gujarat
Father's Name : Shakil Durvesh Father's Mobile Number : 9898700855
Mother's Name : Fatema Durvesh 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 : 7-625 opp police chowki-7,Polan Bajar, Address Line 1 :
Address Line 2 : Godra, Panchmahals Address Line 2 :
City/Town : Godhra City/Town :
State/Province : Maharashtra State/Province : --Select State--
Zipcode : 389001 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 : 18,054,400 BPL Card : Yes
Estimate Cost of Treatment : 18,054,400 Fund Required : Disease : Spinal Muscular Atrophy
Disease : Spinal Muscular Atrophy

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