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Government of India

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Patient Name: MRUDULA BORHADE
UHID: KEM_BOM_MB_3641
Disease: Cystic Fibrosis (Potentiators)
Estimate Cost of Treatment: 103,600
General Information
UHID : KEM_BOM_MB_3641
Full Name : MRUDULA BORHADE
Mobile Number : 9757214145
Email Id :
Date of Registration : 2013-02-25
Gender : Male State of Domicile : Maharashtra
Father's Name : ANIL BORHADE Father's Mobile Number : 9757214145
Mother's Name : SHOBHA BORHADE Mother's Mobile Number : 9757214145
Name of Guardian/Care Taker: Mobile No. of Guardian/Care Taker : 0
Home Address (Current) Correspondance Address
Address Line 1 : 41/3076 ABHYUDAYA NAGAR Address Line 1 : 41/3076 ABHYUDAYA NAGAR
Address Line 2 : KALACHOWKI Address Line 2 : KALACHOWKI
City/Town : MUMBAI City/Town : MUMBAI
State/Province : Maharashtra State/Province : Maharashtra
Zipcode : 40033 Zipcode : 40033
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 : 103,600 BPL Card : Yes
Estimate Cost of Treatment : 103,600 Fund Required : Disease : Cystic Fibrosis (Potentiators)
Disease : Cystic Fibrosis (Potentiators)

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