भारत सरकार
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Government of India
Patient Name: HARISH S.
UHID: ICHHCE_CHEN_HS_5011
Disease: Wilson\'s Disease
Estimate Cost of Treatment: 25,000
General Information
UHID : ICHHCE_CHEN_HS_5011
Full Name : HARISH S.
Mobile Number : 9486340910
Email Id :
Date of Registration : 2009-12-05
Gender : Male State of Domicile : Tamil Nadu
Father's Name : Sathish kumar . V Father's Mobile Number : 9486340910
Mother's Name : Hemalatha . M Mother's Mobile Number : 9442946325
Name of Guardian/Care Taker: Mobile No. of Guardian/Care Taker : 0
Home Address (Current) Correspondance Address
Address Line 1 : No. 17/42, Erragollanur, Address Line 1 : No. 17/42, Erragollanur,
Address Line 2 : Pennagaram, Address Line 2 : Pennagaram,
City/Town : Dharmapuri City/Town : Dharmapuri
State/Province : Tamil Nadu State/Province : Tamil Nadu
Zipcode : 636810 Zipcode : 636810
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 : 25,000 BPL Card : Yes
Estimate Cost of Treatment : 25,000 Fund Required : Disease : Wilson\'s Disease
Disease : Wilson\'s Disease

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