Photo
First Name SANTOSH
Middle Name .
Last Name GAUTAM
Age 19
Gender MALE
Accomadation
Hall Seat No
Application No MR2
Foreinger (Y/N)?
Monk (Y/N)?
Student Type NEW
This Center Student NEW
Phone 9851221849
Email
District/Country KATHMANDU
Profession
Case Type Referral
Severity 9
Reason MENTAL DISTURBANCE-MINOR
Deprature Day 2
Case Description due to mental issue. create visuliziang practice
Remarks
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