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Basic Information
Donate By : 31-March-15
Name: Gaushik
Age: 3.7 years
Sex: Male
Diagnosis: Cancer
Status: In The Hospital
Filled in by: Others
(Referred by community)
Status
He is getting treatment regular chemotherapy.
Appeal Summary
Baby Goushik , 10 months old s/o Mr.Gopalakrishnan & Ashwini has been diagnosed with Brain Tumor – Pineoblastoma. He is getting treatment at KKCTH since December 2014 and he has advised to under go intensive chemotherapy for the next one year. Total cost would be Rs.400,000 to 600,000 (approximately). Father of child is working as carpenter, he is sole bread winner of the family. Therefore we request you to kindly provide financial assistance to the family to save the little child’s life.

Authenticated Documents

No Documents

Family Background
Job: Carpenter
Head Of The Family: Gopalakrishnan
Office/Colleague's Address
Address
 EKAM Foundation, 16/19,2nd floor,
 Jayalakshmipuram 1 street, Nungambakkam
 Chennai,
 Tamil Nadu,
 India-600034
Telephone: 9445922333
E-mail Id: Not Available
Residential Address
Address
: 1/71, Kongliamman kovil St
  Orrathur, Kavalur Post, Katangulathur Viz
  Kancheepuram,
  Tamil Nadu,
  India-603105
Telephone: 9840469791
Total Monthly Income: RS 5000
Earning members: 1

Authenticated Documents

No Documents

Disease Description
Brain tumor

Treatment
Chemotherapy

Authenticated Documents

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

Hospital Details
Hospital Name : Kanchi Kamakoti Child Trust Hospital
Address : 12 A, Nageswara road, , Nungambakkam
District Name : Chennai
State Name : Tamil Nadu
Country Name : India-600034
Contact Number: 044-42001800
Doctor Name: Dr.Julius Xavier Scott

Authenticated Documents

Document - 1  ( Hospital Authorisation Letter )

Fund Requirement
Fund Already Spent by Family : RS 0
Fund Requirement : RS 400000
Fund Collected so far: RS 1000
Fund Shortage: RS 399000
Donors

Donor NamePledged AmountReceived AmountReceived On
AneeshaRs. 1000Rs. 100024-03-2015
External Funds
No Records Found
Supporters
No Records Found
Volunteers
No Records Found
Medical Records
Document - 1 
Document - 2 
Document - 3 
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
Document - 1 
Authentication
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 ( 0 )
There is No Comments for this appealer.
Authentication Score
Funds Needed
RS 400,000
Funds Raised
RS 1,000

Donors: 1|Supporters: 0|Views:559


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