Kindly mention the presented format honestly so that it will enable to decipher and arrive at a conclusion.

1 Name :
2 E-mail :
3 Address :
4 Sex :
5 Age :
6 Weight :
7 Height :
8 Present Complaints :
9 How the complaints started? :
10 Any peculiar symptoms? :
11 Is it occurred previously? :
12 Disease history in your family? :
13 Whether consulted anywhere earlier? :
14 Are you feeling chilliness/Hot flushes? :
15 How is your appetite? Any desire for salt/sour/spices/sweets/fish/meat/egg. Etc. :
16 Favourite food items :
17 The food that aggravates your existing complaints :
18 Please describe your mental attitude/ past mental insults/ unsolved grief etc. :
19 Any history of suppressed eruptions/ skin complaints :

   

The advice to the ailing problem will be responded within 24 hours