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Patient Name: KAPIL LAKSHAN S.
UHID: ICHHCE_CHEN_KS_5075
Disease: Duchenne Muscular Dystrophy
Estimate Cost of Treatment: 5,000,000
General Information
UHID : ICHHCE_CHEN_KS_5075
Full Name : KAPIL LAKSHAN S.
Mobile Number : 7598685067
Email Id :
Date of Registration : 2019-06-01
Gender : Male State of Domicile : Tamil Nadu
Father's Name : Samikannu . S Father's Mobile Number : 7598685067
Mother's Name : Sundhareshwari . B Mother's Mobile Number : 7598685099
Name of Guardian/Care Taker: Mobile No. of Guardian/Care Taker : 0
Home Address (Current) Correspondance Address
Address Line 1 : No. 3/79, Pudhu colony, Swamanadha puram, Address Line 1 : No. 3/79, Pudhu colony, Swamanadha puram,
Address Line 2 : Kongaraya palayam post, Address Line 2 : Kongaraya palayam post,
City/Town : Kallakurichi City/Town : Kallakurichi
State/Province : Tamil Nadu State/Province : Tamil Nadu
Zipcode : 606203 Zipcode : 606203
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 : 5,000,000 BPL Card : Yes
Estimate Cost of Treatment : 5,000,000 Fund Required : Disease : Duchenne Muscular Dystrophy
Disease : Duchenne Muscular Dystrophy

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