Patient Examination

Basic Details

Select Patient ID

Date of Visit *

Full Name

Phone Number

Email ID

Address / Area

Gender

Age

Vital Signs

Weight (kg)

Height (cm)

BMI (Auto-calculated)

Blood Pressure (mmHg)

Pulse Rate (bpm)

Respiratory Rate (bpm)

Temperature (°C)

SpO2 (%)

Primary Complaint Category

Select Category

Chief Complaint

Chief Complaint *

Onset

Progress

Associated Complaint

Associated Symptoms

System Examination

CVS

RS

CNS

P/A

Skin Examination

Skin Type

Skin Condition

Skin Severity

Skin Dhatu

Hair & Scalp Examination

Hair Concern

Scalp Condition

Hair Dosha

Hair Dhatu

Provisional Diagnosis

Provisional Diagnosis - Modern

Provisional Diagnosis - Ayurvedic

Treatment

Internal Medicines

External Applications / Procedures

Lifestyle Advice

Doctor Information

Doctor Name *

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