भारत सरकार
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Government of India
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
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
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 : 300,000 BPL Card : Yes
Estimate Cost of Treatment : 300,000 Fund Required : Disease : Tyrosinemia
Disease : Tyrosinemia

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