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Appeal for Logesh & Azhagesh Created by SURABI TRUST

Basic Information
Donate By : 31-December-11
Name: Logesh & Azhagesh
Age: 11 years
Sex: Male
Diagnosis: Hormonal problems
Status: Others
Filled in by: Hospital
(Through Ekam Foundation)
suffering from congenital immunodeficiency.
Appeal Summary
25000 Monthly till life time for the life long treatment of IV immunoglobulin once every 3 weeks for survival.

Authenticated Documents

Document - 1  ( Interview of the Parent/Patient )

Family Background
Job: labor
Head Of The Family: Arul
Office/Colleague's Address
 40, perumal kovil st,
 Thiru perambadur
 Tamil Nadu,
Telephone: 9444563071
E-mail Id: Not Available
Residential Address
: No 2/73, Gandhi st, Kollacherry
  Tamil Nadu,
Telephone: 9940314615
Total Monthly Income: RS 4500
Earning members: 1

Authenticated Documents

Document - 1  ( Interview of the Patient's/Parent's employer )

Disease Description
suffering from congenital immunodeficiency.

They require life long treatment for IV immunoglobulin once in every 3 weeks. Both are brother both have same problem.

Authenticated Documents

Document - 1  ( Medical Record )

Hospital Details
Hospital Name : kanchikamakoti child trust
Address : No 12 A Nageswara Raod , Nungamabakkam
District Name : Chennai
State Name : Tamil Nadu
Country Name : India-600034
Contact Number: 42001800
Doctor Name: Dr.S.Balasubramanian

Authenticated Documents

Document - 1  ( Hospital Authorisation Letter )

Fund Requirement
Fund Already Spent by Family : RS 100000
Fund Requirement : RS 25000
Fund Collected so far: RS 0
Fund Shortage: RS 25000
No Records Found
External Funds
No Records Found
No Records Found
No Records Found
Medical Records
Document - 1 
Hospital Authorisation Letter
Document - 1 
Interview of the Parent/Patient
Document - 1 
Second Opinion
Not Available
Interview of the Patient/Parent's employer
Document - 1 
Other Documents
Validation TypeStatus
Seen/Met the PatientYES
Met or Spoke to the DoctorYES
Met/Spoke to the Patient's ColleagueYES
Visited Patient's ResidenceNO
Spoken to the Patient/Family memberYES
Comments ( 0 )
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Authentication Score
Funds Needed
RS 25,000
Funds Raised
RS 0

Donors: 0|Supporters: 0|Views:1120

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