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Government of India

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Patient Name: Alayna Shifa S
UHID: ICHHCE_CHEN_AS_5243
Disease: Primary Immune deficiencydisorders-Intravenous immunoglobulinand sub cutaneous therapy (IVIG) replac
Estimate Cost of Treatment: 100,000
General Information
UHID : ICHHCE_CHEN_AS_5243
Full Name : Alayna Shifa S
Mobile Number : 9677768288
Email Id :
Date of Registration : 2019-11-09
Gender : Male State of Domicile : Tamil Nadu
Father's Name : Shamee Y Father's Mobile Number : 9677768288
Mother's Name : Shameena A Mother's Mobile Number : 9010960196
Name of Guardian/Care Taker: Mobile No. of Guardian/Care Taker : 0
Home Address (Current) Correspondance Address
Address Line 1 : Janumiyan Street, Dharanampet Address Line 1 : Janumiyan Street, Dharanampet
Address Line 2 : Gudiyatham Address Line 2 : Gudiyatham
City/Town : Vellore City/Town : Vellore
State/Province : Tamil Nadu State/Province : Tamil Nadu
Zipcode : 632602 Zipcode : 632602
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 : Primary Immune deficiencydisorders-Intravenous immunoglobulinand sub cutaneous therapy (IVIG) replac
Disease : Primary Immune deficiencydisorders-Intravenous immunoglobulinand sub cutaneous therapy (IVIG) replac

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