भारत सरकार
|
Government of India
भारत सरकार
 Patient Name: |
PRATIEK. T .SAMALESAN |
|---|---|
 UHID: |
ICHHCE_CHEN_PT_4361 |
 Disease: |
Hereditary angioedema (HAE) |
 Estimate Cost of Treatment: |
5,000,000 |
| General Information | |||
|---|---|---|---|
| UHID : | ICHHCE_CHEN_PT_4361 |  |
|
| Full Name : | PRATIEK. T .SAMALESAN | ||
| Mobile Number : | 9840086624 | ||
| Email Id : | tazhayil_pratiek@yahoo.com | ||
| Date of Registration : | 1985-07-27 | Make a Donation | |
| Gender : | Male | State of Domicile : | Tamil Nadu |
| Father's Name : | Samalesan T.O | Father's Mobile Number : | 9840086624 |
| Mother's Name : | Ammini .S | Mother's Mobile Number : | 9629844900 |
| Name of Guardian/Care Taker: | Mobile No. of Guardian/Care Taker : | 0 | |
| Home Address (Current) | Correspondance Address | ||
| Address Line 1 : | No. 14/234, Tazhayil Gardens, | Address Line 1 : | No. 14/234, Tazhayil Gardens, |
| Address Line 2 : | Athipalli, Athipalli post, | Address Line 2 : | Athipalli, Athipalli post, |
| City/Town : | Gudalur, | City/Town : | Gudalur, |
| State/Province : | Tamil Nadu | State/Province : | Tamil Nadu |
| Zipcode : | 643212 | Zipcode : | 643212 |
| Country : | India | Country : | India |
| Details | |||
| Annual Income of Family : | Estimate Cost of Treatment : | 5,000,000 | |
| Fund Required : | Disease : | Hereditary angioedema (HAE) | |
