General Information |
UHID : |
IPGMER__AM_7 |
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Full Name : |
Archishman Mukherjee |
Mobile Number : |
0 |
Email Id : |
rarediseasecommittee.ipgmer@gmail.com |
Date of Registration : |
2015-07-05 |
Make a Donation |
Gender : |
Male |
State of Domicile : |
West Bengal |
Father's Name : |
Anirban Mukherjee |
Father's Mobile Number : |
2147483647 |
Mother's Name : |
Arpita Mukherjee |
Mother's Mobile Number : |
2147483647 |
Name of Guardian/Care Taker: |
Anirban Mukherjee |
Mobile No. of Guardian/Care Taker : |
2147483647 |
Home Address (Current) |
Correspondance Address |
Address Line 1 : |
C1-94 |
Address Line 1 : |
C1-94 |
Address Line 2 : |
Indian Institute of Technology |
Address Line 2 : |
Indian Institute of Technology |
City/Town : |
Kharagpur |
City/Town : |
Kharagpur |
State/Province : |
West Bengal |
State/Province : |
West Bengal |
Zipcode : |
721302 |
Zipcode : |
721302 |
Country : |
India |
Country : |
India |
Details |
Patient Proof ID : |
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Patient ID Proof Upload : |
View file
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Supporting (Father's/Mother's/Guardian/Care Taker)ID Proof : |
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Supporting ID Proof Upload : |
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Annual Income of Family : |
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Estimate Cost of Treatment : |
6,000,000 |
BPL Card : |
Yes |
Estimate Cost of Treatment : |
6,000,000 |
Fund Required : |
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Disease : |
Spinal Muscular Atrophy |
Disease : |
Spinal Muscular Atrophy |
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