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Government of India

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Patient Name: Deepa Vaishnavi K
UHID: ICHHCE_CHEN_DK_5198
Disease: Cystic Fibrosis- Pancreatic enzyme supplement
Estimate Cost of Treatment: 100,000
General Information
UHID : ICHHCE_CHEN_DK_5198
Full Name : Deepa Vaishnavi K
Mobile Number : 7904293941
Email Id :
Date of Registration : 2010-11-05
Gender : Male State of Domicile : Tamil Nadu
Father's Name : Karthikeyan G Father's Mobile Number : 7904293941
Mother's Name : Shanthi K Mother's Mobile Number : 9842631393
Name of Guardian/Care Taker: Mobile No. of Guardian/Care Taker : 0
Home Address (Current) Correspondance Address
Address Line 1 : 18/4 , Palaniappa ,a lay-out Address Line 1 : 18/4 , Palaniappa ,a lay-out
Address Line 2 : Coimbatore South Address Line 2 : Coimbatore South
City/Town : Coimbatore City/Town : Coimbatore
State/Province : Tamil Nadu State/Province : Tamil Nadu
Zipcode : 641021 Zipcode : 641021
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 : 100,000 BPL Card : Yes
Estimate Cost of Treatment : 100,000 Fund Required : Disease : Cystic Fibrosis- Pancreatic enzyme supplement
Disease : Cystic Fibrosis- Pancreatic enzyme supplement

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