Photo
First Name TULA
Middle Name N.
Last Name SHAKYA
Age 74
Gender MALE
Accomadation M-7A
Hall Seat No
Application No M7A
Foreinger (Y/N)?
Monk (Y/N)?
Student Type OLD/11
This Center Student OLD
Phone 9841082893
Email
District/Country LALITPUR
Profession
Case Type Referral
Severity 1
Reason EMERGENCY CALL
Deprature Day 6
Case Description urgent call from home
Remarks
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