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Appeal for Antina Created by Karthick Bharathi

Basic Information
Donate By : 15-June-13
Name: Antina
Age: 15 years
Sex: Female
Diagnosis: Heart disease
Status: Others
Filled in by: NGO
(The Director Of CRDS, Rev. Dr. Fr. John Suresh, Refered this patient.)
She is going to be admitted on 6th May 2013.
Appeal Summary
C. Antonysamy working as a Daily Wages employee ( Coolie). His daughter Miss.A. Antina, aged about 11 years is having Hear Problem. She already has undergone 2 Heart Surgeries in 2010. After the surgery, she got relieved from her heart problems. Later, in the beginning of 2013 she has some problem again in the Heart. And, consulted to the Frontier Hospital. They advised her to undergo BALLOON VALVULOPLASTY (BMV) The estimated approximate cost of the surgery is Rs. 1.33 lakhs. They have already spent 2.50 lakhs for her previous surgery. Though he is a Daily Wages employee, he is unable to afford the cost of the surgery.She also has been referred to Women's Welfare Syndicate.

Authenticated Documents

No Documents

Family Background
Job: Colie
Head Of The Family: . Antonysamy,
Office/Colleague's Address
 No 48, Mettu colony, Marudam Madha Koil St
 Thiruppulivanam, Uthiramerur-TK,
 Tamil Nadu,
Telephone: 9444 81 46 88.
E-mail Id: Not Available
Residential Address
: No 48, Mettu colony, Marudam Madha Koil St,
  Thiruppulivanam, Uthiramerur-TK.
  Tamil Nadu,
Telephone: 9444 81 46 88
Total Monthly Income: RS 2000
Earning members: 1

Authenticated Documents

No Documents

Disease Description
S/P MV Repair, S/P MVR, Prosthetic Mitral Valve insitu, Mild to Moderate central jet MR, Mild inflow restriction, Mild PAH, Good Bi- Ventricular function.

She is advised to undergo BALLOON VALVULOPLASTY (BMV)

Authenticated Documents

Document - 1  ( Medical Record )
Document - 2  ( Medical Record )
Document - 3  ( Medical Record )
Document - 4  ( Medical Record )

Hospital Details
Hospital Name : Frontier Lifeline
Address : R-30-C, Ambattur Industrial, Estate Road , Mogappair
District Name : Chennai
State Name : Tamil Nadu
Country Name : India-600101
Contact Number: 044 4201757
Doctor Name: 044 26565150

Authenticated Documents

Document - 1  ( Hospital Authorisation Letter )

Fund Requirement
Fund Already Spent by Family : RS 250000
Fund Requirement : RS 133000
Fund Collected so far: RS 33250
Fund Shortage: RS 99750
No Records Found
External Funds

Donor NamePledged AmountReceived AmountReceived On
Women's Welfare SyndicateRs. 33250Rs. 3325022-04-2013
No Records Found
No Records Found
Medical Records
Document - 1 
Document - 2 
Document - 3 
Document - 4 
Hospital Authorisation Letter
Document - 1 
Interview of the Parent/Patient
Not Available
Second Opinion
Not Available
Interview of the Patient/Parent's employer
Not Available
Other Documents
Validation TypeStatus
Seen/Met the PatientYES
Met or Spoke to the DoctorYES
Met/Spoke to the Patient's ColleagueYES
Visited Patient's ResidenceYES
Spoken to the Patient/Family memberYES
Comments ( 1 )
Please do provide the documents. To begin with at least the hospital authorisation letter

Authentication Score
Funds Needed
RS 133,000
Funds Raised
RS 33,250

Donors: 1|Supporters: 0|Views:2249

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