Amritha kripa - Narayana Ayurveda chikitsalayam

Booking

Booking Form

Name

Age

Gender

Male

Female

Mobile No.

Email ID

Current Problems
( Problems for which the patient is seeking treatment from Amrithakripa)

Medical History
(History of systemic diseases like Diabetes/Hypertension/Heart Disease/Kidney disease/ Liver disease/ Cancer / Any other medical condition that we should be aware of)

(pdf, png, or jpg)

Is there is any non-healing ulcer/open wound anywhere in the body? :

Yes