Registration

Patient's basic Details

Enter Patient's Name

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Age

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Contact No. if any

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Date Of Birth

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Gender

Male Female

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Patient's Address

Address

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Landmark/Street

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City

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State

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Patient's Details

Past History of Illness

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Present treatment or history ofany
past treatment undergone/ medications taken

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Details of any investigations/ Reports done

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Kindly guide me appropriately.

Details of any investigations/ Reports done

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I wish to undergo treatment from you

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* Note : Patient clicking at second option willing to undergo treatment will have to bear the cost of medicines to be send by "Ayurvision" including postal charges.

DISCLAIMER

Consultation provided here does not substitute routine medical check-up conducted treatment given at hospitals/clinics/centres of Ayurveda. Ayurvision does not consider itself responsible for any untorward events happening after following the advice provided in free Ayurvedic consultation. Patients requesting for consultation will do so at their own responsibility.