Patient Name: |
SALMAAN FARIZ -.R |
|---|---|
UHID: |
ICHHCE_CHEN_S-_4360 |
Disease: |
Hereditary angioedema (HAE) |
Estimate Cost of Treatment: |
5,000,000 |
| General Information | |||
|---|---|---|---|
| UHID : | ICHHCE_CHEN_S-_4360 | ![]() |
|
| Full Name : | SALMAAN FARIZ -.R | ||
| Mobile Number : | 9043496783 | ||
| Email Id : | salmaaneee@gmail.com | ||
| Date of Registration : | 1993-05-18 | Make a Donation | |
| Gender : | Male | State of Domicile : | Tamil Nadu |
| Father's Name : | Riswan .M | Father's Mobile Number : | 9043496783 |
| Mother's Name : | Narkes Banu Aleem .R | Mother's Mobile Number : | 9751913723 |
| Name of Guardian/Care Taker: | Mobile No. of Guardian/Care Taker : | 0 | |
| Home Address (Current) | Correspondance Address | ||
| Address Line 1 : | No. 1/173, -17, Karthik nagar, | Address Line 1 : | No. 1/173, -17, Karthik nagar, |
| Address Line 2 : | Nattamangalam, Madayankuttai post, | Address Line 2 : | Nattamangalam, Madayankuttai post, |
| City/Town : | Salem | City/Town : | Salem |
| State/Province : | Tamil Nadu | State/Province : | Tamil Nadu |
| Zipcode : | 636452 | Zipcode : | 636452 |
| Country : | India | Country : | India |
| Details | |||
| Annual Income of Family : | Estimate Cost of Treatment : | 5,000,000 | |
| Fund Required : | Disease : | Hereditary angioedema (HAE) | |