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Ayurveda Online Consultancy

Please fill up this form if you are willing to come to our New Delhi clinic for consultation and proper Ayurveda Panchakarma Treatment.

Fill in the following details. If possible, send a copy of your medical reports viz. Blood Report, X- Ray, CT Scan, MRI, etc. by email or normal mail. * - Compulsary Fields

    Title   Name*  
    Date Of Birth (DD-MM-YY)  
    Single / Married  
    Occupation and Nature of work
    Present Diagnosis and Treatment (if any)
    Question / Health Problem Query*
    Past History(Previous problems & surgery
    Any chronic illness like Diabetes/Hy.tension/TB/Heart Diseases/& medicine taken now:
    Phone Number* Country / State / District

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KERALA AYURVEDA PANCHAKARMA CENTRE have full fledged Ayurveda Panchakarma Clinic in Kalkaji, New Delhi and Trivandrum, Kerala, India. We conduct Panchakarma Treatment, Rejuvenation Massage, Shirodhara, special Massage, Face Massage, Head Massage and supervision of specially trained Ayurveda doctors.  For more information about the treatment, please contact - www.keralaayurvedichealthcare.com