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Basic Info
Current Status
Medicines
Follow up
Full Name
Gender
Male
Female
Other
City
Mobile Number
Current Age in Years
Naadi
What is patient's past history?
DRY COUGH
What is patient's family history?
Any medications?
Allergies, if any?
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Select Tests
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Selected Tests
Courier Status
Next Visit Date
Pending Visit Amount
Total cost of medicines
Pending Medicine Amount
Any other remarks
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What are your present complaints?
DRY COUGH,UNDIGESTED
Jivha( tongue)
SAAM
Stools
N
Urine
N
Sweat
N
Apetite
N
Sleep
N
Diet restrictions/ recommendations
NON VEG 3/W
Medicine 01
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Display Name
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Dosage
Frequency
Timing
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Selected Timings
Meal
Duration (days)
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Notes
Medicine 02
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Display Name
use display name
Dosage
Frequency
Timing
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Selected Timings
Meal
Duration (days)
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Notes
WITH 20 ML WATER --15 MINUTES BEFORE
Medicine 03
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Display Name
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Dosage
Frequency
Timing
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Selected Timings
Meal
Duration (days)
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Notes
Medicine 04
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Display Name
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Dosage
Frequency
Timing
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Selected Timings
Meal
Duration (days)
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Notes
Medicine 05
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Display Name
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Dosage
Frequency
Timing
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Selected Timings
Meal
Duration (days)
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Notes
Medicine 06
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Display Name
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Dosage
Frequency
Timing
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Selected Timings
Meal
Duration (days)
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Notes
Medicine 07
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Display Name
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Dosage
Frequency
Timing
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Selected Timings
Meal
Duration (days)
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Notes
Medicine 08
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Display Name
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Dosage
Frequency
Timing
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Selected Timings
Meal
Duration (days)
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Notes
Medicine 09
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Display Name
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Dosage
Frequency
Timing
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Selected Timings
Meal
Duration (days)
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Notes
Medicine 10
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Display Name
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Dosage
Frequency
Timing
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Selected Timings
Meal
Duration (days)
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Notes
Medicine 11
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Display Name
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Dosage
Frequency
Timing
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Selected Timings
Meal
Duration (days)
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Notes
Medicine 12
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Dosage
Frequency
Timing
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Selected Timings
Meal
Duration (days)
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Notes
Medicine 13
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Dosage
Frequency
Timing
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Meal
Duration (days)
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Notes
Medicine 14
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Dosage
Frequency
Timing
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Meal
Duration (days)
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Medicine 15
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Meal
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