भारत सरकार
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Government of India
Patient Name: SHASHANK VISHWKARMA
UHID: AIIMSBHPL_BHPL_SV_5090
Disease: Hereditary angioedema (HAE)
Estimate Cost of Treatment: 639,000
General Information
UHID : AIIMSBHPL_BHPL_SV_5090
Full Name : SHASHANK VISHWKARMA
Mobile Number : 9981014142
Email Id : Shashank11487@gmail.com
Date of Registration : 1987-04-11
Gender : Male State of Domicile : Madhya Pradesh
Father's Name : MADAN GOPAL VISHWAKARMA Father's Mobile Number : 9893041788
Mother's Name : SADHNA VISHWAKARMA Mother's Mobile Number : 0
Name of Guardian/Care Taker: Mobile No. of Guardian/Care Taker : 0
Home Address (Current) Correspondance Address
Address Line 1 : S 12 Yojna homes Address Line 1 : S 12 Yojna homes
Address Line 2 : Amritpuri Address Line 2 : Amritpuri
City/Town : Bhopal City/Town : Bhopal
State/Province : Madhya Pradesh State/Province : Madhya Pradesh
Zipcode : 462042 Zipcode : 0
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 : 639,000 BPL Card : Yes
Estimate Cost of Treatment : 639,000 Fund Required : Disease : Hereditary angioedema (HAE)
Disease : Hereditary angioedema (HAE)

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