India's First Ayurvedic Clinic for Crohn's & Colitis Mon - Sat: 10 am - 6 pm +91 99106 72020 info@sushruta.com

Patient History Form for Ulcerative Colitis

Dr Harish Verma is a visionary, an Ayurvedacharya, Physician, Teacher and Author who has dedicated his life to bringing the power of Ayurveda to the world.


– Dr Harish Verma

Patient History Form






    MaleFemaleOther










    RecentlyIt has been some timeFrom Long Time


    YesNo



    MildAcute (Meaning : Very Strong)


    YesNo








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