This is a facility for online consultation.
Please fill up information on yourself. We shall respond as soon as we receive your enquiry.


* 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.