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Appeal for Surya prakash Created by Sangithasivaramakrishnan

Basic Information
Donate By : 28-February-17
Name: Surya prakash
Age: 6.7 years
Sex: Male
Diagnosis: Heart disease
Status: Others
Filled in by: Hospital
(This child was referred by the doctor)
Status
Child is waiting for financial assistance to undergo surgery
Appeal Summary
Master Suryaprakash 6 Years 2 Months has been diagnosed with Congenital Heart Disease Ė Ebsteinís Anamoly. He underwent Tricuspid valve repair in the year 2014 and at present he has severe valve leak from the valve for which he needs urgent surgery (Redo surgery - Tricuspid valve fenestrated closure/ Atrial septectomy/ Right glenn shunt) The estimate cost of the procedure would be Rs.5,00,000/- out of it Rs.1,00,000/- will be covered under Tamilnadu Chief Ministerís Comprehensive Health Scheme. The father of the Child is working as a driver and his income is not sufficient to spend for the childís treatment. Therefore we request you to kindly provide financial assistance to save the little childís life.

Authenticated Documents

No Documents

Family Background
Job: Driver
Head Of The Family: Senthilkumar
Office/Colleague's Address
Address
 57/23, Manali new town, Chennai
 600103
 Chennai,
 Tamil Nadu,
 India-600103
Telephone: 8220998279
E-mail Id: Not Available
Residential Address
Address
: 57/23, Manali new town, Chennai
  600103
  Chennai,
  Tamil Nadu,
  India-600103
Telephone: 8220998279
Total Monthly Income: RS 10000
Earning members: 1

Authenticated Documents

No Documents

Disease Description
Ebsteinís Anomaly

Treatment
Redo surgery - Tricuspid valve fenestrated closure/ Atrial septectomy/ Right glenn shunt

Authenticated Documents

No Documents

Hospital Details
Hospital Name : Apollo Childrenís Hospital
Address : No.15, Shafi Mohammed Road , Thousand lights, Chennai-600 006.
District Name : Chennai
State Name : Tamil Nadu
Country Name : India-600006
Contact Number: 044 28296313
Doctor Name: Dr. Neville Solomon

Authenticated Documents

Document - 1  ( Hospital Authorisation Letter )

Fund Requirement
Fund Already Spent by Family : RS 30000
Fund Requirement : RS 370000
Fund Collected so far: RS 0
Fund Shortage: RS 370000
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 PatientYES
Met or Spoke to the DoctorYES
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 370,000
Funds Raised
RS 0

Donors: 0|Supporters: 0|Views:347


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