Pachak Churna - For Digestion, Buddhivardhak - Brain Tonic, Balvardhak - Energy food, Zero Stress - For relieve mental stress, Sheetrodhak - For Asthama & thyroids, Sandhivat Tel & Lepa - For joint pain, Keshbala - Hair tonic, Saundarya Kaya Lepa - For face skin tone, Dahanashini - Body burning, Dantrakshak - For Healthy teeth, Ashvagandha Shatavari Soup - Health Tonic/Soup, Herpeez Lepa - For Nagin, Diabtic Tea & Churna - For diabetic mukti.
Mr./ Miss/Mrs.:
Address :
Telephone (L) :
Telephone (M) :
Suffering from Diabetes from last : yrs
First Checkup Blood Sugar was Fast :
 
Fast :
PP : mgm
Treatment (Recent)
 
1) Tablet
2) Tablet
3) Tablet
Insulin :
 
Morning : units
Afternoon : units
Night : units
Blood sugar (recent):
 
Fast :
PP : mgm
Other Diseases (Tick for yes) :
 
B.P Joint pain Foot burning Over Urine Flow
Mental Stress Sleep Disturbance sGenetic History Vision Problem
Kidney Problem Overweight Weight Loss