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Patient Name: LAKSHAYA. S.
UHID: ICHHCE_CHEN_LS_3666
Disease: Larons Syndrome
Estimate Cost of Treatment: 5,000,000
General Information
UHID : ICHHCE_CHEN_LS_3666
Full Name : LAKSHAYA. S.
Mobile Number : 8825536581
Email Id :
Date of Registration : 2020-03-22
Gender : Male State of Domicile : Tamil Nadu
Father's Name : Sharath M. Father's Mobile Number : 8825536581
Mother's Name : Thanalakshmi S. Mother's Mobile Number : 8825536581
Name of Guardian/Care Taker: Mobile No. of Guardian/Care Taker : 0
Home Address (Current) Correspondance Address
Address Line 1 : No. 125, Thammampatti post, Address Line 1 : No. 125, Thammampatti post,
Address Line 2 : Attur taluk Address Line 2 : Attur taluk
City/Town : Salem City/Town : Salem
State/Province : Tamil Nadu State/Province : Tamil Nadu
Zipcode : 636113 Zipcode : 636113
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 : 5,000,000 BPL Card : Yes
Estimate Cost of Treatment : 5,000,000 Fund Required : Disease : Larons Syndrome
Disease : Larons Syndrome

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