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Patient Name: LOHITH M.
UHID: ICHHCE_CHEN_LM_4983
Disease: Primary Immune deficiencydisorders-Intravenous immunoglobulinand sub cutaneous therapy (IVIG) replac
Estimate Cost of Treatment: 90,000
General Information
UHID : ICHHCE_CHEN_LM_4983
Full Name : LOHITH M.
Mobile Number : 7708585720
Email Id :
Date of Registration : 2020-11-28
Gender : Male State of Domicile : Tamil Nadu
Father's Name : Muthaiya .M Father's Mobile Number : 7708585720
Mother's Name : Selvi .M Mother's Mobile Number : 6379139047
Name of Guardian/Care Taker: Mobile No. of Guardian/Care Taker : 0
Home Address (Current) Correspondance Address
Address Line 1 : No. 6-2/12/1, East street, Mettuneerathan, Antipatti post, Address Line 1 : No. 6-2/12/1, East street, Mettuneerathan, Antipatti post,
Address Line 2 : Vadipatti Address Line 2 : Vadipatti
City/Town : Madurai City/Town : Madurai
State/Province : Tamil Nadu State/Province : Tamil Nadu
Zipcode : 625218 Zipcode : 625218
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 : 90,000 BPL Card : Yes
Estimate Cost of Treatment : 90,000 Fund Required : Disease : Primary Immune deficiencydisorders-Intravenous immunoglobulinand sub cutaneous therapy (IVIG) replac
Disease : Primary Immune deficiencydisorders-Intravenous immunoglobulinand sub cutaneous therapy (IVIG) replac

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