Online Consultation

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a health problem? Get a free online consultation from expert ayurvedic doctors!

We can provide free online consultation to anyone who is interested in knowing about the various ayurvedic treatments, holistic health treatments, yoga retreats, and wellness therapies available at Pattarumadom Ayurveda. To register for our free online consultation, please fill the form given below and send us all the details of your health problems, with a full history of treatments taken so far.

Patient Details
Name  
Age
Gender
Occupation
Phone  
Address
Email    
Present complaints
 
Duration
H/O Present Illness
H/O Previous Illness if any
Family History
Personnel Details
Body Frame
Height & Weight cms. kgs.
Food Habits
Exercise
Energy level
Anxiety/Stress
Addictions if any
Menstrual history
Investigation Reports
Details Of Treatments Taken So Far
Are You Hypertensive or Diabetic?
Message to the Doctor
 
I am not a robot