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Online Ayurveda consultation

Please fill this form for our Chief Physician to respond to your ailment
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Main complaints with full history :

Nature of work: Whether it involves constant traveling, etc:

Any cause known to you for the disease :
Any Hereditary factor :
Dietary habits :
State of Appetite, Digestion, Motion, Urine, Sleep, Menstruation:
Addiction to smoking, alcohol, etc:
Details of Investigation/Medical Reports
Other Problems like hypertension, diabetes etc:
Any Previous & recent treatments :
Other information, if any:

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 

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