Date of Birth

Male

Female

Gender

Cheif Complaints with Duration

Height

Weight

Enter Your Full Address

Enter Your Highest Education

Enter Your Occupation

Where were you born?

Enter your past Surgical/Hospitalization/Treatment history with dates/year

Write any unique qualities/skills/strenghts that you have?

Have you ever suffered from any of these diseases?

Do any of these diseases run in your family?

Do you have any History of Allergies? If yes please mention

Do you have a bowel movement everday?

How many times in a day do you have to go?

Nature of Stools

Do you have bleeding through Anus?

Do the stools Sink or Float in water?

Do you suffer from excessive gases?

Are you having Dysentry?

Do the stools stink a lot?

Do you have a reading habit or use the phone when passing stools?

How many times in a day do you pass urine?

Is there any bleeding or pus in the urine?

Urine Colour

Do you have burning sensation during Urination?

Do you have to get up at night to urniate?

Do you sweat all round the year?

Do you Sweat more or less as compared to others?

Does the Sweat smell?

Do your Palms and Soles also Sweat?

At what Age did you get your Period?

Are your Periods Regular?

After how many days do you get your Period?

For how many days does your period last?

What is the colour of the period blood?

Do you face any other problems during your periods?

Does the period blood contain clots?

How many time were you Pregnant?

Was the delivery normal or Caesarean?

Have you undergone an Abortion?

In total how many times did you undergo an Abortion?

Have you ever undergone curetting

How many time have you undergone curetting?

Do you face any of these issues?

Nature of Work

How many hours of sleep do you get every night?

Is the sleep sound or disturbed?

 Do you Sleep during the day?

 Do you Face any of these issues in your sleep?

 Do you have any of the following Addictions?

Did you face any Mental Trauma before this disease occured?

If yes, What?

 How is your Temaparament?

Are you Satisfied with your Financial, Social, Family Status? 

Do you get upset if you have to compromise against your wish? 

Do you have a habit of comparing yourself with Someone else? 

Are you afriad of Something? If yes please describe otherwise write No

Do you feel dull/unenergetic 

Do you get Hallucinations? 

 Do you have memory loss?

 How is the Atmosphere in your home?

What is your average screen time per day?

Anniversary Date (IF NOT APPLICABLE THEN DO NOT FILL)

Spouse's birthdate (IF NOT APPLICABLE THEN DO NOT FILL)

Son/Daughters Bithdate (IF NOT APPLICABLE THEN DO NOT FILL)

Mothers Birthdate

Fathers Birthdate

Bed Rooms

Max  Guest

Square feet area

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Our most popular choice offering exceptional value for money! At just Rs.500 more per day than basic, it's the smart choice for discerning guests who value both comfort and affordability. Experience the perfect balance of comfort and welness with thoughtfully designed rooms featuring modern amenities. Enjoy daily fresh linens, entertainment options, complimentary parking, and good connectivity. With premium Ayurvedic toiletries, yoga essentials, and comfortable furnishings, this room provides everything needed for a rejuvenating stay. The enhanced treatment rooms feature quality equipment ensuring an optimal healing experience.

Indulge in our premium welness experience with handcrafted luxury accommodations. Features elegant wooden furnishing, climate-control led comfort, and personalized daily amenities including fresh towels and mineral water. The state-of-the-art treatment suites boast cutting-edge equipment including automatic Shirodhara systems. Every detail has been curated for guests who appreciate fine living and seek the ultimate in welness luxury. Perfect for special occasions, corporate executives, and those who believe their we l-being deserves the finest care.

A two person general ward like accommodation designed for budget-conscious guests who prioritize treatment over comfort. Features basic hospital-ward style setup with shared amenities and minimal services. Please note: No television entertainment, no room slippers, no daily disposable bedsheets, and limited connectivity. Suitable only for those seeking the most economical option with basic treatment facilities.

General Ward

Semi-deluxe Room Type

Royal Room

Basic Room Type