Doctor · REPOS OPD

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Vitals

B.P. Pulse Temp °F SpO₂ % Height cm Weight kg

Clinical assessment

Chief complaints (with duration)

Prakriti (V–P–K) Vikriti (V–P–K)

⚠ Past illness / drug / allergy

Systemic examination Provisional diagnosis

Investigation plan

Pain · how bad, and where

Ashtavidha Pariksha · eight-fold examination

Dashavidha Pariksha · ten-fold examination

Panchakarma · suggested rituals

A suggestion, not a commitment. The guest may decline it. Picking from the rate card means the desk can quote it without retyping anything.

Start from a package

	Ritual	Count	Dravya(s)	Duration	Amount

Adv. Day Care / IPD

Internal medicines · Aushadhi

	Formulation	Dose	Anupana	Time	Days	Qty

Anupana = vehicle (jal / madhu / dugdha / koshna jal). B/f = before food · A/f = after food · HS = bedtime.

Advice, review and signature

Diet advice · Pathya–Apathya

Preventive aspects · Yoga / lifestyle

Review after (days) Doctor