NAGARJUNA AYURVEDIC GROUP - Ayurvedic treatments in Nagarjuna Ayurvedic Center kalady, kerala Mind Rejuvenation kerala panchakarma

Please give the maximum details by filling up the Consultation Form. Our physicians will respond within 48 hours of receiving your requests.

Name of the patient :

Gender :

Male Female

Age :

Date of Birth :

Full Address :

Phone :

E-mail :

Occupation :

Height :

Weight :

Kilos Pounds

Present complaint with history :

Duration of complaint :

Years Months Days

Type of medications used/using :

Past problems and medications used :

Detail existence of problems like diabetes,
hypertension, cardiac problems :

Details of any laboratory investigations :

Appetite :

Sleep :

Bowel/stool :

Bladder/urination :

Addictions :

For Ladies

Menstrual history :

Pain Any other dis-comfort

Bleeding :

Cycle :

Ayurveda recommends personal consultation

Please note that the most effective diagnosis can be made only after personal examination, since Ayurveda believes in treating the individual and not the disease. However, based on the details provided, physicians will respond with their comments , recommendations for medicines / treatments.

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