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Government of India

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Patient Name: Bharath S
UHID: ICHHCE_CHEN_BS_5214
Disease: Cystic Fibrosis- Pancreatic enzyme supplement
Estimate Cost of Treatment: 100,000
General Information
UHID : ICHHCE_CHEN_BS_5214
Full Name : Bharath S
Mobile Number : 8056113829
Email Id :
Date of Registration : 2018-02-12
Gender : Male State of Domicile : Tamil Nadu
Father's Name : Sambath M Father's Mobile Number : 8056113829
Mother's Name : Vanitha Sambath Mother's Mobile Number : 8056113829
Name of Guardian/Care Taker: Mobile No. of Guardian/Care Taker : 0
Home Address (Current) Correspondance Address
Address Line 1 : Kilambakkam Colony , Alapakkam Address Line 1 : Kilambakkam Colony , Alapakkam
Address Line 2 : Athivakkam Address Line 2 : Athivakkam
City/Town : Tiruvallur City/Town : Tiruvallur
State/Province : Tamil Nadu State/Province : Tamil Nadu
Zipcode : 601102 Zipcode : 601102
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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