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  homeoindia.com :: Case Taking Performa
 

Case Taking Performa
Patient' Name
Sex                 Age
Occupation
Address
Email ID
Present Complaints
Chief Complaints
Physical Generals(General body Symptoms)
Constitution- Built Up of the Patient
Height           Health(Slim or Fat)
Complexion
Mental Symptoms
Other Generals
Sleep Appetite
Desire Aversion
Bowel Thirst
Urine Perspiration
Tongue
Habits
Personal History(H/O Past Diseases)
Family History
Female
Marital Status
Complaints relating to it (if any) in both sexes.
In case of Females About:

General Modalities
Aggravation Ameboration
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