Please Fill Below Case Paper For Ayurvedic Diagnosis

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Personal Details
Name*
Email*
Mobile*
Age (Range 1 to 100 years)
Location*
Health Complaints
General Complaints HyperacidityDiabetesInfertilityPiles/Fissure/FistulaHypertensionPCOS/PCODIndigestionThyroidOsteoarthritisIBSCancerSpine DisordersUrinary DisordersSexual DisordersSkin DisordersRespiratory DisordersNeurological DisordersMental DisordersOther
Past history of disease(If any) TuberculosisHypertensionCancerThyroid
Motion
Sleep
Diet SweetSpicyHot/ChillyJunk FoodChineseMaida ItemsNon-VegFridge Items
Addiction AlcoholCigaretteTobaccoGutkaNarcotics

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