THALASSEMIA FREE PAKISTAN


     Beneficiary's Information:

  Beneficiary Name:*
  Father's Name
  Date of Birth*
  Gender*

  Marital status*

  Contact No.*
  E-mail
  CNIC No. *(Beneficiary or Father)
(11111-1111111-1)
  Address:
  Province:
  District:

 

For further information and queries: ad.it@pbm.gov.pk