Patient Name: |
SHIVAGINI SHAH |
|---|---|
UHID: |
AIIMSBHPL_BHPL_SS_3689 |
Disease: |
Tyrosinemia |
Estimate Cost of Treatment: |
300,000 |
| General Information | |||
|---|---|---|---|
| UHID : | AIIMSBHPL_BHPL_SS_3689 | ![]() |
|
| Full Name : | SHIVAGINI SHAH | ||
| Mobile Number : | 9399938845 | ||
| Email Id : | Surendrashah8451@gmail.com | ||
| Date of Registration : | 2024-05-11 | Make a Donation | |
| Gender : | Male | State of Domicile : | Madhya Pradesh |
| Father's Name : | SURENDRA SHAH | Father's Mobile Number : | 8451898409 |
| Mother's Name : | SAVITRI SHAH | 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 : | RAJPALI | Address Line 1 : | RAJPALI |
| Address Line 2 : | THARAKITHAILA | Address Line 2 : | THARAKITHAILA |
| City/Town : | JAUNGADI | City/Town : | JAUNGADI |
| State/Province : | Madhya Pradesh | State/Province : | Madhya Pradesh |
| Zipcode : | 486886 | Zipcode : | 0 |
| Country : | India | Country : | India |
| Details | |||
| Annual Income of Family : | Estimate Cost of Treatment : | 300,000 | |
| Fund Required : | Disease : | Tyrosinemia | |