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Government of India

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Patient Name: KAVIN C
UHID: ICHHCE_CHEN_KC_5078
Disease: Duchenne Muscular Dystrophy
Estimate Cost of Treatment: 5,000,000
General Information
UHID : ICHHCE_CHEN_KC_5078
Full Name : KAVIN C
Mobile Number : 9486724654
Email Id :
Date of Registration : 2017-11-08
Gender : Male State of Domicile : Tamil Nadu
Father's Name : chinna perumal D Father's Mobile Number : 9486724654
Mother's Name : yosodha C Mother's Mobile Number : 9486724654
Name of Guardian/Care Taker: Mobile No. of Guardian/Care Taker : 0
Home Address (Current) Correspondance Address
Address Line 1 : No 8/22, kollankuttai, vtc Address Line 1 : No 8/22, kollankuttai, vtc
Address Line 2 : veppalnatham post Address Line 2 : veppalnatham post
City/Town : tirupathur City/Town : tirupathur
State/Province : Tamil Nadu State/Province : Tamil Nadu
Zipcode : 635651 Zipcode : 635651
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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