भारत सरकार
|
Government of India
भारत सरकार
 Patient Name: |
ANSHI RAJAK |
|---|---|
 UHID: |
AIIMSBHPL_BHPL_AR_5124 |
 Disease: |
wilson Disease |
 Estimate Cost of Treatment: |
192,960 |
| General Information | |||
|---|---|---|---|
| UHID : | AIIMSBHPL_BHPL_AR_5124 |  |
|
| Full Name : | ANSHI RAJAK | ||
| Mobile Number : | 8817526037 | ||
| Email Id : | |||
| Date of Registration : | 2013-09-29 | Make a Donation | |
| Gender : | Male | State of Domicile : | --Select State-- |
| Father's Name : | ASHISH RAJAK | Father's Mobile Number : | 8358056158 |
| Mother's Name : | RAJAK | 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 : | Post madwari | Address Line 1 : | Post madwari |
| Address Line 2 : | Panna | Address Line 2 : | Panna |
| City/Town : | Panna | City/Town : | Panna |
| State/Province : | Madhya Pradesh | State/Province : | Madhya Pradesh |
| Zipcode : | 488058 | Zipcode : | 488058 |
| Country : | India | Country : | India |
| Details | |||
| Annual Income of Family : | Estimate Cost of Treatment : | 192,960 | |
| Fund Required : | Disease : | wilson Disease | |
