भारत सरकार
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Government of India
Patient Name: Yusuf Momin
UHID: KEM_BOM_YM_3643
Disease: IEM
Estimate Cost of Treatment: 120,000
General Information
UHID : KEM_BOM_YM_3643
Full Name : Yusuf Momin
Mobile Number : 9769154224
Email Id :
Date of Registration : 2024-05-07
Gender : Male State of Domicile : Maharashtra
Father's Name : Shahrukh Momin Father's Mobile Number : 9769154224
Mother's Name : Samreenbanu Momin Mother's Mobile Number : 9137331137
Name of Guardian/Care Taker: Mobile No. of Guardian/Care Taker : 0
Home Address (Current) Correspondance Address
Address Line 1 : T/B/S Block 8, Room no : 61 , CGS Colony Address Line 1 : T/B/S Block 8, Room no : 61 , CGS Colony
Address Line 2 : LGS Marg, Ghatkopar (West) Address Line 2 : LGS Marg, Ghatkopar (West)
City/Town : Mumbai City/Town : Mumbai
State/Province : Maharashtra State/Province : Maharashtra
Zipcode : 400086 Zipcode : 400086
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 : 120,000 BPL Card : Yes
Estimate Cost of Treatment : 120,000 Fund Required : Disease : IEM
Disease : IEM

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