Online Consultation
Email address
Name of the Patient
Place of stay
Date of Birth
MM
/
DD
/
YYYY
Age
Mobile Number
Medical History:
Please Describe about your current problems - symptoms, medical diagnosis, current medication
Name of Disease
You can choose multiple options
Required
Submit Tongue photo(max 10 mb)
Required
Submit Face Photo( max 10 mb)
Required
Submit Nail's Photo(Hands') (max 10 mb)
Required
Submit Photo of affected area if required..(max 5 files of 10 mb each)
Submit Medical Reports if available..(max 10 files of 10 mb each)
Pay your Consultation charges here....https://goo.gl/EJNpyi
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