Photo
First Name BHIMSEN
Middle Name .
Last Name MAHARJAN
Age 74
Gender MALE
Accomadation PR4-A
Hall Seat No B1
Application No M20
Foreinger (Y/N)?
Monk (Y/N)?
Student Type OLD/28
This Center Student OLD
Phone 9841173520
Email
District/Country
Profession
Case Type
Severity 1
Reason GENUINE MEDICAL CONDITION
Deprature Day 2
Case Description health problem
Remarks
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