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Government of India

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Patient Name: Dinesh V
UHID: ICHHCE_CHEN_DV_5254
Disease: Primary Immune deficiencydisorders-Intravenous immunoglobulinand sub cutaneous therapy (IVIG) replac
Estimate Cost of Treatment: 100,000
General Information
UHID : ICHHCE_CHEN_DV_5254
Full Name : Dinesh V
Mobile Number : 9940396952
Email Id :
Date of Registration : 12013-01-17
Gender : Male State of Domicile : Tamil Nadu
Father's Name : Vasudevan R Father's Mobile Number : 9940396952
Mother's Name : Deepa V Mother's Mobile Number : 9940595066
Name of Guardian/Care Taker: Mobile No. of Guardian/Care Taker : 0
Home Address (Current) Correspondance Address
Address Line 1 : 52, Periyar nagar, Store line Address Line 1 : 52, Periyar nagar, Store line
Address Line 2 : Madhavaram Address Line 2 : Madhavaram
City/Town : Tiruvallur City/Town : Tiruvallur
State/Province : Tamil Nadu State/Province : Tamil Nadu
Zipcode : 600060 Zipcode : 600060
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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