भारत सरकार
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Government of India
Patient Name: RAKSHAN. S
UHID: ICHHCE_CHEN_RS_3756
Disease: Larons Syndrome
Estimate Cost of Treatment: 5,000,000
General Information
UHID : ICHHCE_CHEN_RS_3756
Full Name : RAKSHAN. S
Mobile Number : 9790984891
Email Id : vanitharajkumar1986@gmail.com
Date of Registration : 2018-03-26
Gender : Male State of Domicile : Tamil Nadu
Father's Name : Subash Chandra Bose K.S. Father's Mobile Number : 9790984891
Mother's Name : Vanitha R. Mother's Mobile Number : 9790984891
Name of Guardian/Care Taker: Mobile No. of Guardian/Care Taker : 0
Home Address (Current) Correspondance Address
Address Line 1 : No. 5. s2, Cavins lalita flat 4th cross street, Address Line 1 : No. 5. s2, Cavins lalita flat 4th cross street,
Address Line 2 : Jeyanthi nagar, Kolathur, Address Line 2 : Jeyanthi nagar, Kolathur,
City/Town : Chennai City/Town : Chennai
State/Province : Tamil Nadu State/Province : Tamil Nadu
Zipcode : 600099 Zipcode : 600099
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 : Larons Syndrome
Disease : Larons Syndrome

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