Photo
First Name CHITRA
Middle Name B.
Last Name KARKI
Age 30
Gender MALE
Accomadation N-6
Hall Seat No A5
Application No MR2
Foreinger (Y/N)?
Monk (Y/N)?
Student Type NEW
This Center Student NEW
Phone 9842838747
Email
District/Country UDAYAPUR
Profession
Case Type Referral
Severity 1
Reason EMERGENCY CALL
Deprature Day 1
Case Description due ot the sick of his mother
Remarks
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