भारत सरकार
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Government of India
Patient Name: AKASH TIWARI
UHID: AIIMSBHPL_BHPL_AT_3679
Disease: Other
Estimate Cost of Treatment: 360,000
General Information
UHID : AIIMSBHPL_BHPL_AT_3679
Full Name : AKASH TIWARI
Mobile Number : 7879051998
Email Id : Akashtiwari2462008@gmail.com
Date of Registration : 2008-06-24
Gender : Male State of Domicile : --Select State--
Father's Name : LATE ASHISH TIWARI Father's Mobile Number : 0
Mother's Name : PREETI TIWARI Mother's Mobile Number : 9589790503
Name of Guardian/Care Taker: Mobile No. of Guardian/Care Taker : 0
Home Address (Current) Correspondance Address
Address Line 1 : 136, KHAIRA Address Line 1 : 136, KHAIRA
Address Line 2 : NEAR PEEPAL KA PED Address Line 2 : NEAR PEEPAL KA PED
City/Town : REWA City/Town : REWA
State/Province : Madhya Pradesh State/Province : Madhya Pradesh
Zipcode : 486006 Zipcode : 486006
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 : 360,000 BPL Card : Yes
Estimate Cost of Treatment : 360,000 Fund Required : Disease : Other
Disease : Other

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