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Basic Information
Donate By : 30-October-16
Name: Harshitha
Age: 1.10 years
Sex: Female
Diagnosis: Breathing and lung related problems
Status: Intensive Care Unit
Filled in by: Hospital
(referred by doctor)
Status
Baby is in PICU and needs financial assistance
Appeal Summary
Baby Harshitha 58 days old D/o. Mr. Varadhan was diagnosed with Pneumonia and Septic shock. She is getting treatment at Dr. Mehta’s Children’s Hospital since September 2015. Currently the baby is on Ventilator support and she needs to stay in PICU until she recovers. The cost of the care comes around 2 lakhs approximately. The baby of the father is working as an executive in a private concern and he is the only earning member in his family. Therefore we request you to kindly provide financial assistance to the child’s treatment.

Authenticated Documents

No Documents

Family Background
Job: Executive
Head Of The Family: Varadhan
Office/Colleague's Address
Address
 No.147, Sachithananthan st, kosapet,
 
 Chennai,
 Tamil Nadu,
 India-600012
Telephone: 9840796457/ 720039
E-mail Id: Not Available
Residential Address
Address
: No.147, Sachithananthan st, kosapet,
  
  Chennai,
  Tamil Nadu,
  India-600012
Telephone: 9840796457/ 720039
Total Monthly Income: RS 15000
Earning members: 1

Authenticated Documents

No Documents

Disease Description
Pneumonia and Septic shock

Treatment
Stay in PICU

Authenticated Documents

No Documents

Hospital Details
Hospital Name : Dr. Mehta’s Hospital
Address : No.2, Mc Nicholas Rd, 3rd lane, Chetpet, ,
District Name : Chennai
State Name : Tamil Nadu
Country Name : India-600031
Contact Number: 9144- 422711001
Doctor Name: Dr. Thangavelu

Authenticated Documents

Document - 1  ( Hospital Authorisation Letter )

Fund Requirement
Fund Already Spent by Family : RS 0
Fund Requirement : RS 200000
Fund Collected so far: RS 0
Fund Shortage: RS 200000
Donors
No Records Found
External Funds
No Records Found
Supporters
No Records Found
Volunteers
No Records Found
Medical Records
Not Available
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
Authentication
Validation TypeStatus
Seen/Met the PatientNO
Met or Spoke to the DoctorNO
Met/Spoke to the Patient's ColleagueNO
Visited Patient's ResidenceNO
Spoken to the Patient/Family memberNO
Comments ( 0 )
There is No Comments for this appealer.
Authentication Score
Funds Needed
RS 200,000
Funds Raised
RS 0

Donors: 0|Supporters: 0|Views:358


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