Photo
First Name PRABIN
Middle Name .
Last Name BAJGAIN
Age 24
Gender MALE
Accomadation T1-4
Hall Seat No F5
Application No M120
Foreinger (Y/N)?
Monk (Y/N)?
Student Type NEW
This Center Student NEW
Phone 9779860583312
Email prabinbajgain111@gmail.com
District/Country
Profession
Case Type Referral
Severity 9
Reason MENTAL DISTURBANCE-MINOR
Deprature Day 6
Case Description anxiety
Remarks
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