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Appeal for padma Created by SURABI TRUST

Basic Information
Donate By : 28-February-12
Name: padma
Age: 23 years
Sex: Female
Diagnosis: Heart disease
Status: Discharged
Filled in by: Others
(Through Ekam Foundation)
Appeal Summary
Requires 2,00,000 rupees for the surgery as her mother is only living and working as a housemaid she is is unable to meet the expenses. The patient herself is a breadwinner of the family, now they are not in a position to meet the medical expense, kindly help her.

Authenticated Documents

Document - 1  ( Interview of the Parent/Patient )

Family Background
Job: office staff
Head Of The Family: Not Mentioned
Office/Colleague's Address
 q/12, maraimalai adigal st, arumbakkam
 MMDA col, chennai
 Tamil Nadu,
Telephone: 8939057671
E-mail Id: Not Available
Residential Address
: No1, North streer, Mukuntha nallur
  virudachalam taluk
  Tamil Nadu,
Telephone: 9884041562
Total Monthly Income: RS 12000
Earning members: 1

Authenticated Documents

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

Disease Description
Evaluated and diagnosed to have situs, solitus, levocardia AV * VA concordance, Ebsteins anomaly of TV Moderate sized secundum ASD sever TR. She has to undergo Open heart surgery.

Patient has to undergo for a open heart surgery + tricuspid valve repair.

Authenticated Documents

Document - 1  ( Medical Record )

Hospital Details
Hospital Name : Madras Medical Mission
Address : N0 4A, JJ nagar, Mogappiar ,
District Name : Chennai
State Name : Tamil Nadu
Country Name : India-600037
Contact Number: 26561801
Doctor Name: Dr.Vimala

Authenticated Documents

Document - 1  ( Hospital Authorisation Letter )

Fund Requirement
Fund Already Spent by Family : RS 10000
Fund Requirement : RS 200000
Fund Collected so far: RS 0
Fund Shortage: RS 200000
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 200,000
Funds Raised
RS 0

Donors: 0|Supporters: 0|Views:2381

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