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YOG AROGYA KENDRA
REGISTRATION FORM
(7753832359,8960717780)
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WHAT DO YOU JOIN?
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REGULAR YOG PRACTICE
YOG THERAPY
NATUROPATHY CAMP(7 DAYS)
NATUROPATHY CAMP(15 DAYS)
MEDITATION CAMP(3 DAYS)
NATUROPATHY RESIDANTIAL CAMP
ACUPRESSURE THERAPY
PRANIK HEALING
REFLEXOLOGY
PHYSIOTHERAPY
YOG HOME TUTION
HOMA THERAPY/YAGYA CHIKITSA
COUNSELING
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Name-
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FATHER/MOTHER/HUSBAND/GUARDIAN NAME-
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GENDER
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AGE
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MOBILE NO.-
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B.P.
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PULS RATE
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Weight
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Temperature
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MARITAL STATUS-
MARRIED
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ADDRESS-
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OCCUPATION-
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Symptoms of Problems
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Are you taking any medicine
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How many times you taking meal
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Many times
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How much you taking water (In liter)
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Any addiction?
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After Treatments responses data
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