भारत सरकार
|
Government of India
Patient Name: SANSKAR BILGAIYAN
UHID: AIIMSBHPL_BHPL_SB_4189
Disease: X Linked Agammaglobulinemia
Estimate Cost of Treatment: 720,000
General Information
UHID : AIIMSBHPL_BHPL_SB_4189
Full Name : SANSKAR BILGAIYAN
Mobile Number : 9630345529
Email Id : Sanskar1029@gmail.com
Date of Registration : 2007-10-29
Gender : Male State of Domicile : Madhya Pradesh
Father's Name : RAJESH BILGAIYAN Father's Mobile Number : 8815696648
Mother's Name : MITHILESH BILGAIYAN 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 : 153 Address Line 1 : 153
Address Line 2 : WARD NO 10 JIRON Address Line 2 : WARD NO 10 JIRON
City/Town : TIKAMGARH City/Town : TIKAMGARH
State/Province : Madhya Pradesh State/Province : Madhya Pradesh
Zipcode : 472337 Zipcode : 472337
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 : 720,000 BPL Card : Yes
Estimate Cost of Treatment : 720,000 Fund Required : Disease : X Linked Agammaglobulinemia
Disease : X Linked Agammaglobulinemia

Images

Videos