भारत सरकार
|
Government of India
Patient Name: SANJANA S.
UHID: ICHHCE_CHEN_SS_3730
Disease: Other
Estimate Cost of Treatment: 5,000,000
General Information
UHID : ICHHCE_CHEN_SS_3730
Full Name : SANJANA S.
Mobile Number : 6382713634
Email Id :
Date of Registration : 2018-01-23
Gender : Male State of Domicile : Tamil Nadu
Father's Name : Suresh S. Father's Mobile Number : 6382713634
Mother's Name : Rekha S. Mother's Mobile Number : 6382713634
Name of Guardian/Care Taker: Mobile No. of Guardian/Care Taker : 0
Home Address (Current) Correspondance Address
Address Line 1 : No. 110, vellalar street, Address Line 1 : No. 110, vellalar street,
Address Line 2 : Vadakal pakkam Address Line 2 : Vadakal pakkam
City/Town : Thiruvannamalai City/Town : Thiruvannamalai
State/Province : Tamil Nadu State/Province : Tamil Nadu
Zipcode : 631702 Zipcode : 631702
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 : Other
Disease : Other

Images

Videos