Online Consultation
Email address *
Name of the Patient *
Place of stay *
Date of Birth
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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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