GOVERNMENT OF INDIA

AYUSHMAN BHARAT
NATIONAL HEALTH PROTECTION MISSION
PATIENT REGISTRATION FORM

Patient No: 1284034

Patient Details

Card No PXH9645FU Name MADHU

Age 53 Y 0 M 0 D PANDEY

Relation Name NA Gender Female

Contact No 8181982493 Date Of Birth 1969

Communication 8181982493
Contact No

Card Address

Address 1416, Village NA

HANUMAMANT City NA
VIHAR, ,
District KANPUR NAGAR
NAUBASTA,
Pin Code 208021
KANPUR NAGAR,
UTTAR PRADESH
Block NA
State UTTAR PRADESH

Communication Address

Address 1416 HANUMANT Village NA

VIHAR City NA
NAUBASTA
District KANPUR NAGAR
KANPUR
Pin Code 208021
Block NA
State UTTAR PRADESH

Registered Hospital Details

Hospital Name VAISHNAVI Registered Date 27-02-2022

HOSPITAL