Bringing
health to you through Unani is our
aim so what better ways then to make
the treatment available online. We
are providing online treatment so
that the suffering people can be helped
in the best possible way through Unani.
The
patients should fill in their cases
and Submit the form. The case will
undergo analysis and evaluation by
Dr. Aslam Javed..The patient can also
chat with him with a prior appointment
or during the specified time.
Consultation Form
Name
Age
yrs
Sex
Email
Id
Height
Feet
Inches
Weight
pounds
Occupation
Details
of your home climate
Your
Health Details
Name
your disease (as diagnosed by conventional/modern
medicine)
What
are the chief signs, symptoms or
complaints that made you to look
at Unani as an alternative health
solution?
General
Diet
Diet
details
Complete
History of Disease
Do
your symptoms/complaints decrease
or increase when you change climatic
zones?
What
kind of food, lifestyle or environmental
changes relieve the nature of your
complaints?
Family
history
Is
any member of your family suffering
from TB,Hypertension,Asthma,Any
allergic disorder,Any other disease?
Your
Treatment History
What
types of treatments and medicines
have you taken so far?
What
have been the results?
Have
you observed any side-effects?
How
much do you know about Unani ?
What
kind of food, lifestyle or environmental
changes trigger the symptoms of
your disease?
Do
you any report of investigation
regarding your disease
Digestive
System
How
is your appetite and digestion?
Give
complete details of your bowel movements,
such as time of evacuations, frequency,
color, consistency, regularity,
irregularity and smell.
Do
you see any mucus in your stool?
Yes
No
How
often do you have constipation and
what do you think are the causes?
Do
you pass wind?
Do
you have acid reflux/heartburn?
Do
you experience heaviness, discomfort
or pain in the stomach after eating?
Urinary
System
What
is the frequency, quantity and color
of your urine?
Do
you feel any burning sensation while
urinating?
Yes
No
Sleep
Do
you sleep soundly?
Mental
Condition
How
would you rate yourself emotionally?
(press 'ctrl'
and click for
multiple selection)
How
do you perceive your own financial
status? What are your comfort levels
with your current situation?
Reproductive
System
Mention, if you have any sexual problems
Are
there any other details you would
like to share?
