| |
 |
|
| Patient
Name |
|
Md. Amir Hosen |
| Age |
|
35 years |
| Sex |
|
Male |
| Father’s
Name |
|
Late Sabed Ali |
| Mother’s
Name |
|
Late Ator Banu |
| Address |
|
Vaikdia, Khilgaon |
| Contact Number |
|
01726270687 |
| Is the patient
earning member of the family?
No |
|
Previous Earning |
| Family Member |
|
4 |
| Yearly Income |
|
US$ 733 (BD Tk 50,000/-) |
| Duration
of Dialysis |
|
6 month |
| No. of Dialysis
per week |
|
Two |
| Yearly expenses
for Dialysis purpose |
|
US$ 1763 (BDTk 1,20,240/-) |
| Note |
|
|
|
|
 |
|
