Letter to civil surgeon, Sirsa for the up-gradation of Govt. Blood Bank, Sirsa
PATIENT DETAILS FORM - oceanfoundations.orgoceanfoundations.org/dipanshu.pdfDipanshu's father PAWAN...
Transcript of PATIENT DETAILS FORM - oceanfoundations.orgoceanfoundations.org/dipanshu.pdfDipanshu's father PAWAN...
Ocean Foundation Reg-353,
Office address : D-127 3rd floor sector 10
Noida gautam budha nagar (201301)
Website : www.oceanfoundations.org
Email : [email protected]
NAME DIPANSHU
FATHER NAME PAWAN KUMAR
CURRENT AGE 9 MONTHS
SEX MALE
DISEASE NAME Critical congenital heart disease (CCHD)
HOSPITAL NAME AIIMS NEW DELHI
ADDRESS #191 WARD NO: 113 SIRSA THE : SIRSA DISST.SIRSA HARYANA
FATHER OCCUPATION labour
C.V NUMBER 2016/014/0009651
UHID NUMBER 101721528
DOCTOR NAME DR. ANITA SAXENA
TREATMENT REQUIRED OHS (open heart surgery)
TREATMENT COST 45,000 RS
DEPARTMENT OF TREATMENT CARDIOLOGY DEPTT. AIIMS NEW DELHI
PATIENT DETAILS FORM
DIPANSHU a little boy aged 9 MONTHS Year old he was recently diagnosed with Critical congential
heart disease (CCHD) at AIIMS NEW DELHI under refrence of Dr. Anita Saxena. Dr. Anita Saxena
asserted a treatment cost of Rs 45000. Dipanshu's father PAWAN from SIRSA (HARYANA) is a labour
by profession and due to his bad financial condition is unable to bear the treatment amount and
hence knocked at ocean foundation for the same and to save his son life and for his OHS (open hear
surgery) we are arranging for the financial assistance. THANK YOU SO MUCH