VEDICHOMYO HOSPITAL & INSTITUTE OF HOLISTIC MEDICAL SCIENCES
7C,7CA-7CB,Jagdamba Nagar-C,Bajrang Dwar,Kalwar Road, Jhotwara,Jaipur, Rajasthan-302012
Mobile No. : - +91-9772792004, Email : - vedichomyo@gmail.com, Web. : - www.vedichomyo.com
Date:- 24-08-2026
Patient Information Sheet
UHID No.- VH0
OPD тАУ IPD тАУ
OPD тАУ IPD тАУ
Patient Name тАУ kuldeep ji
Father/Husband Name тАУ
Address тАУ ganesh nagar
Phone No. тАУ 9716566445
Occupation тАУ
E-mail тАУ
Age - 36
Wt. -
B.P. - mm/Hg.
Sex - Male
Ht. - cm
PR. - /min
DIAGNOSIS -
Dr. By:-
Chief Complaint / Present Complaint
Chief Complaint / Present Complaint Chief Complaint / Present Complaint Chief Complaint / Present Complaint Chief Complaint / Present Complaint
Past History тАУ
Past History / Present Complaint Chief Complaint / Present Complaint Chief Complaint / Present Complaint Chief Complaint / Present Complaint
Family History тАУ
Family History / Present Complaint Chief Complaint / Present Complaint Chief Complaint / Present Complaint Chief Complaint / Present Complaint
Mental Generals тАУ
Mental Generals / Present Complaint Chief Complaint / Present Complaint Chief Complaint / Present Complaint Chief Complaint / Present Complaint
Therapy
Physical General -
- Tongue -
- Tongue desc
- Thirst -
- Thirst desc
- Stool -
- Stool desc
- Abdoman -
- Abdoman desc
- Urine -
- Urine desc
- Hot / Chilly -
- Hot desc
- Prespiration -
- Prespiration desc
- Skin -
- Skin desc
- Menses -
- Menses desc
- Allergy -
- Allergy desc
- Sleep -
- Sleep desc
- Dreams -
- Dreams desc
- Others -
- Others desc
- Investigation -
- Investigation desc
Medicine -
AESCULUS 200
BACK-RS-DROP
BC 21/2D
PS-3 DROP
D.D.GOLD ++++
S-CAD3
S-B12
ARTHOSE OIL
Next Follow Up Visit
Signature of Doctor
