भारत सरकार
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Government of India
Patient Name: DIVYANSH SHRIVASTAWA
UHID: AIIMSBHPL_BHPL_DS_5100
Disease: Duchenne Muscular Dystrophy
Estimate Cost of Treatment: 50,400,000
General Information
UHID : AIIMSBHPL_BHPL_DS_5100
Full Name : DIVYANSH SHRIVASTAWA
Mobile Number : 9893051885
Email Id : Advocateajay18@gmail.com
Date of Registration : 2011-04-04
Gender : Male State of Domicile : Madhya Pradesh
Father's Name : AJAY SHRIVASTAWA Father's Mobile Number : 9893051885
Mother's Name : DEEPALI 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 : 21 Devendra nagar Address Line 1 : 21 Devendra nagar
Address Line 2 : Near gayatri mandir Address Line 2 : Near gayatri mandir
City/Town : Indore City/Town : Indore
State/Province : Madhya Pradesh State/Province : Madhya Pradesh
Zipcode : 452009 Zipcode : 452009
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 : 50,400,000 BPL Card : Yes
Estimate Cost of Treatment : 50,400,000 Fund Required : Disease : Duchenne Muscular Dystrophy
Disease : Duchenne Muscular Dystrophy

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