भारत सरकार
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Government of India
Patient Name: MOHANA PRIYA . M
UHID: ICHHCE_CHEN_M._5013
Disease: Wilson\'s Disease
Estimate Cost of Treatment: 25,000
General Information
UHID : ICHHCE_CHEN_M._5013
Full Name : MOHANA PRIYA . M
Mobile Number : 8610059155
Email Id :
Date of Registration : 2014-09-23
Gender : Male State of Domicile : Tamil Nadu
Father's Name : Manikandan . D Father's Mobile Number : 8610059155
Mother's Name : Kalaiselvi . M Mother's Mobile Number : 9043981277
Name of Guardian/Care Taker: Mobile No. of Guardian/Care Taker : 0
Home Address (Current) Correspondance Address
Address Line 1 : No. 124, Thottakara street, Address Line 1 : No. 124, Thottakara street,
Address Line 2 : Musaravakkam Address Line 2 : Musaravakkam
City/Town : Kanchipuram City/Town : Kanchipuram
State/Province : Tamil Nadu State/Province : Tamil Nadu
Zipcode : 631551 Zipcode : 631551
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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