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Applicant Name
Aadhar No.
Age
Phone Number
Attach Aadhar File
Parent's Name
Parent's Mobile Number
Parent's Address
Parent's Age
District
State
Kid's Name
Kid's Age
Sex
School Name
Class
Kid's Aadhar No.
Attach Kid's Aadhar File
Admitted Hospital
Consulted Doctor's Name
Phone Number
Diagnosed Of
Kid's Neighbour's Name
Kid's Neighbour's Phone Number
Kid's Neighbour's Address
Kid's Relative's Name
Kid's Relative's Mobile Number
Kid's Relative's Address
Summary About Kid's Family And Financial Status
Summary About Kid
Diagnose Details
Current Treatment Stage
Further Treatment Advice
Expected Expense
Attach Treatment File 1
Attach Treatment File 2
Attach Treatment File 3
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