| Contact Information | |
|---|---|
| First Name | Yasar |
| Last Name | CP |
| Address | Pattambi |
| Palakkad, Kerala | |
| City | Palakkad |
| State | |
| Province | |
| Zip/Postal Code | |
| Country | India |
| Home Phone | 91 - 9495632884 |
| Work Phone | 966 - 502856823 |
| Fax | |
| yasarcp@hotmail.com | |
| Alternate Email | yasarcp@gmail.com |
| Website Address | |
| Gender | Male |
| Injury Information | |
| The injured person is | Child |
| Name of Injured | Fathima - |
| Date of Injury | 12/04/04 |
| Type of Injury | Obstetric |