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Patient Name: NOORUL HUDHA Y.
UHID: ICHHCE_CHEN_NY_5072
Disease: Tyrosinemia type 1 and 2
Estimate Cost of Treatment: 40,000
General Information
UHID : ICHHCE_CHEN_NY_5072
Full Name : NOORUL HUDHA Y.
Mobile Number : 7299050786
Email Id :
Date of Registration : 2016-08-24
Gender : Male State of Domicile : Tamil Nadu
Father's Name : Younus Basha . I Father's Mobile Number : 7299050786
Mother's Name : Sumaiya Banu . A Mother's Mobile Number : 7299051786
Name of Guardian/Care Taker: Mobile No. of Guardian/Care Taker : 0
Home Address (Current) Correspondance Address
Address Line 1 : No. 14, Palli venkatachalapathy street, Address Line 1 : No. 14, Palli venkatachalapathy street,
Address Line 2 : Walaja Address Line 2 : Walaja
City/Town : Ranipet City/Town : Ranipet
State/Province : Tamil Nadu State/Province : Tamil Nadu
Zipcode : 632513 Zipcode : 632513
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 : 40,000 BPL Card : Yes
Estimate Cost of Treatment : 40,000 Fund Required : Disease : Tyrosinemia type 1 and 2
Disease : Tyrosinemia type 1 and 2

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