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Patient Name: Joshitha S.R
UHID: ICHHCE_CHEN_JS_5301
Disease: Primary Immune deficiencydisorders-Intravenous immunoglobulinand sub cutaneous therapy (IVIG) replac
Estimate Cost of Treatment: 100,000
General Information
UHID : ICHHCE_CHEN_JS_5301
Full Name : Joshitha S.R
Mobile Number : 9790171438
Email Id :
Date of Registration : 2019-11-30
Gender : Male State of Domicile : Tamil Nadu
Father's Name : Ramachandran V Father's Mobile Number : 9790171438
Mother's Name : Susila Raja Mother's Mobile Number : 9790174353
Name of Guardian/Care Taker: Mobile No. of Guardian/Care Taker : 0
Home Address (Current) Correspondance Address
Address Line 1 : No;80/63 , Trust puram ,6th cross street, Address Line 1 : No;80/63 , Trust puram ,6th cross street,
Address Line 2 : Kodambakkam Address Line 2 : Kodambakkam
City/Town : Chennai City/Town : Chennai
State/Province : Tamil Nadu State/Province : Tamil Nadu
Zipcode : 600024 Zipcode : 600024
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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