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Past Complaints and Treatments Taken
(This not only includes ailments but past diseases, accidents, operations, etc. or anything that you have suffered for more than 15-30 Days):

Problem #1 Treatment/ Medication Taken Since no. of Days

Maximum of 500 Words

Maximum of 500 Words
Problem #2 Treatment/ Medication Taken Since no. of Days
Maximum of 500 Words Maximum of 500 Words  
Problem #3 Treatment/ Medication Taken Since no. of Days
Maximum of 500 Words Maximum of 500 Words  
Present Complaints If other, (pls.specify)
Name Of Disease
(If Diagnosed)
   
Symptoms Experienced
Maximum of 500 Words
Investigation
(Any type of tests and their report, if any)

Maximum of 500 Words
Heriditary/ Genetical Diseases

I understand that this advise is only of an advisory nature and not perspective it is not meant as a substitute to a doctor's advise.Healthandyoga undertake no responsibility for the advise mentioned.

   

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