Treat us about you for your beauty and healthy

Beauty Clinics Treatment Form
Fill in all the fields, if you want complete treatment

The following Performa is formulated to help you to specify your problems correctly & this enable to analyze your ailments accurately. Our chief Hakeem Sahib personally goes through every e-mail & a panel of expert Hakeems review every individual case. Our unani medicines has a legacy of more than 1000 years of tradition & knowledge and our treatment course are prepared strictly in accordance with the age old medical scripts, texts & manuals of unani with the help of modern scientific tools. Now world renowned western doctors has conceded that where modern medicine failed to cure, there "unani herbalism" steps in to cure the incurable. Today unani medicine is recognized worldwide by World Health Organization (WHO) as one of the alternative system of medicines & forms an integral part of national health care delivery system. For those who are unable to find a solution, we show them rig direction through our valuable consultation. We remind you that the root cause of all beauty disorders lies in the ignorance, bad habits, wrong life styles & unnatural sex acts of younger days. These destroy one’s own body & health. Our treatment will certainly help you to have eternal beauty youth & ageless beauty.

*Name

*E-mail

*Address

*City

*State

*Zip Code

*Country

Age

Sex Male   Female

*Mobile Number

*Phone Number

*Fax Number

Are you married Yes    No

Weight / Height /

Occupation

Are you suffering form diabetes Yes    No

Are your suffering from
HBP
LBP
Not at all

Are you suffering any sexual disease Yes    No

Are you suffering from leucorrehea Yes    No

Are you Vegetarian    nonvegetarian

Which type of food you like Spicy    Mild

Do you have gastric problem Yes    No

Do you sleep well Yes    No

What about your memory Sharp    Weak

Have you ever been operated
If yes, give detail Yes    No

Have you ever been treated in past
Yes     No
If so, What kind of treatmen
        Homeopathic             Allopathic            Ayurvedic             Unani

Is your problem hereditary Yes    No

Do you have skin allergy Yes    No

Is your hair falling Yes    No

Problem since how long

Type of Skin Oily Dry

Main Topic

Comments

Home introduction herbal power face care body care hair care physical beauty
skin disorder skin diseases skin analysis age & your skin gulf page beauty & bride teeth & mouth

*Name
*E-mail
*Address
*City
*State
*Zip Code
*Country
Age
Sex	Male Female
*Mobile Number
*Phone Number
*Fax Number
Are you married	Yes No
Weight / Height	/
Occupation
Are you suffering form diabetes	Yes No
Are your suffering from	HBP LBP Not at all
Are you suffering any sexual disease	Yes No
Are you suffering from leucorrehea	Yes No
Are you	Vegetarian nonvegetarian
Which type of food you like	Spicy Mild
Do you have gastric problem	Yes No
Do you sleep well	Yes No
What about your memory	Sharp Weak
Have you ever been operated If yes, give detail	Yes No
Have you ever been treated in past Yes No If so, What kind of treatmen Homeopathic Allopathic Ayurvedic Unani
Is your problem hereditary	Yes No
Do you have skin allergy	Yes No
Is your hair falling	Yes No
Problem since how long
Type of Skin	Oily Dry
Main Topic
Comments