भारत सरकार
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Government of India
Patient Name: KARTHIKEYAN N.
UHID: ICHHCE_CHEN_KN_5016
Disease: Wilson\'s Disease
Estimate Cost of Treatment: 25,000
General Information
UHID : ICHHCE_CHEN_KN_5016
Full Name : KARTHIKEYAN N.
Mobile Number : 9003109984
Email Id :
Date of Registration : 2018-11-15
Gender : Male State of Domicile : Tamil Nadu
Father's Name : Nanda gopal . S Father's Mobile Number : 9003109984
Mother's Name : Kala . N Mother's Mobile Number : 9600361803
Name of Guardian/Care Taker: Mobile No. of Guardian/Care Taker : 0
Home Address (Current) Correspondance Address
Address Line 1 : No. 6/83, Bazaar Street, sadras Address Line 1 : No. 6/83, Bazaar Street, sadras
Address Line 2 : Kalpakkam Address Line 2 : Kalpakkam
City/Town : Chengalpattu City/Town : Chengalpattu
State/Province : Tamil Nadu State/Province : Tamil Nadu
Zipcode : 603102 Zipcode : 603102
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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