Diabetes Treatment Form
Fill all the fields, if you want complete treatment
Unani, the age-old 'Science of life' and the oldest healing science is back with a bang. This science which originated in Greece 2500 years ago has been handed down the years by accomplished masters to their disciples, from the great physician Hippocrates. Unani has a cure for every ailment. The process of healing may some times seems long & tedious but results begin to show with in a week. What is required in abundance is patience. Amazingly the treatment in unani herbalism is such that the entire body feels rejuvenated & healthy. And this feeling lasts longer than in any other medical system, in unani herbalism it is always a holistic approach. It is not just the cure but the treatment certainly enables you to live a much more healthy life. In unani, herbal & Rasayana medications, which are supposed to really prolong ageing but also enable you to live a more comfortable & healthy life as for as age goes. Unani herbalism is not a generalised medicine system. It is based on individual symptoms, and the medicines prescribed are based up on the clinical condition of each individual. Our medicines are prepared for every individual patient according to every individual patient and to each 'persons' requirement. Our Hakeem's select the herbal carefully from the foothills of Himalayas, which contains the nutrient rich soils with the high concentration of alkaloids & Causes no negative side effect.
   
*Name
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*Phone Number
*Fax Number
*Country
 
Sex / Age  / 
Weight / Height /  
Occupation
   
Marital status
If married how many
Children
Singal Married
 
What about your memory Sharp    Weak  
Do you take your food timly Yes        No
Do you feel weakness in your body Yes        No
Do you feel Irritation in both legs & hands Yes        No
Do you feel pain in joints & backbone Yes        No
Are you suffering from any sex related disease Yes        No

Do you feel to much hungry Yes        No
Is your stool sticky (Greasy) and find some Problem Yes        No
How many times you pass urine during night
For how long you have been suffering from diabetes
Do you take insulin (If yes)
In what Quantity
Yes        No
What kind of Medicine taken earlier Allopathic
Homeopathic
Ayurvedic     
Unani
Percentage of sugar in blood & urine
How much water do you drink every day (in Ltr.)
Are you suffering from blood pressure
If yes,
Yes        No
HBP       LBP
Do you have heart problem Yes        No
Are your doing exercise daily Yes        No
What about your eye sight Weak     Strong
Is your diabetes hereditary or accidental
Are you suffering any other disease
If yes, specify in detail
Yes        No
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