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Government of India

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Patient Name: SUDHIR .S
UHID: ICHHCE_CHEN_S._4343
Disease: MPS IVA 8. MPS VI
Estimate Cost of Treatment: 5,000,000
General Information
UHID : ICHHCE_CHEN_S._4343
Full Name : SUDHIR .S
Mobile Number : 9952512892
Email Id :
Date of Registration : 2014-05-19
Gender : Male State of Domicile : Tamil Nadu
Father's Name : Sivakumar .L Father's Mobile Number : 9952512892
Mother's Name : Kalpana .S Mother's Mobile Number : 9566417375
Name of Guardian/Care Taker: Mobile No. of Guardian/Care Taker : 0
Home Address (Current) Correspondance Address
Address Line 1 : No. 9c/11, kambar street, Address Line 1 : No. 9c/11, kambar street,
Address Line 2 : Vellore post, Address Line 2 : Vellore post,
City/Town : Coimbatore City/Town : Coimbatore
State/Province : Tamil Nadu State/Province : Tamil Nadu
Zipcode : 641111 Zipcode : 641111
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 : MPS IVA 8. MPS VI
Disease : MPS IVA 8. MPS VI

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