भारत सरकार
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Government of India
Patient Name: Srinath B.
UHID: ICHHCE_CHEN_SB_3753
Disease: Other
Estimate Cost of Treatment: 5,000,000
General Information
UHID : ICHHCE_CHEN_SB_3753
Full Name : Srinath B.
Mobile Number : 8973214766
Email Id :
Date of Registration :
Gender : Male State of Domicile : Tamil Nadu
Father's Name : Boopalan K. Father's Mobile Number : 8973214766
Mother's Name : Sesha N. Mother's Mobile Number : 8973214766
Name of Guardian/Care Taker: Mobile No. of Guardian/Care Taker : 0
Home Address (Current) Correspondance Address
Address Line 1 : No. 28B, Keezhkollapalli, Modikuppam post, Kudiyatham block Address Line 1 : No. 28B, Keezhkollapalli, Modikuppam post, Kudiyatham block
Address Line 2 : Gudiyatham Taluk Address Line 2 : Gudiyatham Taluk
City/Town : Vellore City/Town : Vellore
State/Province : Tamil Nadu State/Province : Tamil Nadu
Zipcode : 632601 Zipcode : 632601
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

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