Ayurvedic Treatment Form

*Presenting complaints of health now - point by point
*History of presenting complaints with duration in months or years
*History of any previous ailments
*Current medications the patients are on and for which diseases?
*Any of the below diseases -
(Diabetes- INSULIN dependancy? , TUBERCULOSIS, BRONCHIAL ASTHMA, HEART DISEASES, ALERGY, THYROID DISEASE,
ANEMIA, JAUNDICE, EPILEPSY, URINARY CALCULI, ACIDITY, PILES/ HEMARHOIDS, INJURIES, SURGERIES ,SKIN DISEASE)
*FAMILY HISTORY
*Menstrual history - for ladies , Obstetrical history, Menopause ?
How is the appetite ? bowel movement ? bladder ? sleep ? how many hours ? stress at work place ?
*Any blood reports or CT , MRI scans that were done earlier as a test for some diseases ?
*Height in cms , weight in kgs, waist size in cms .- for obese people.
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