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Free Consultation  (Fistula in Ano Treatment By Kshar Sutra Therapy )

(Ayurveda Cure, Nil Reoccurance rate in past 15 years, No Hospitalization, 100% Permanent Cure,Very Low fee, Approved by W.H.O., Approved By Govt. of India. Call Dr. S. R. Gupta on +91-09415983546, Get rid of this disease. Patients Who Lost Hope, Meet Once )
Name
Email
Mobile
Age
Sex Male Female
Address
Country
Profession
Marital Status MarriedUnmarried
Single   Divorcee  
Education
Blood Pressure
Weight   Kilograms
Height   Feet    Inches
Are You Vegetarian Non-Vegetarian
You are Dependent on Alcohol  Smoking     
Drugs     Coffee/Tea 
Type of Discharge ?
( What type of material is coming from the external opening of fistula ?)
Blood Pus
FaecesGas Urine
Type of Pain ? Pricking   Cutting
ThrobbingBurning
Onset of disease ? Acute   Gradual     
Duration of disease ? Less Than One Year   
More Than One Year   
Bowel Habit (Condition of stomach) Normal   Constipated     Mucous   
Mucous & Blood   History of Trauma  
Previous Surgery
(Have you ever been operated) ?
Yes     No 
Condition of Skin Near Fistula in Ano ? Normal         Inflammed     
Indurated      Ext. Piles or Tag   
Tenderness
(pain around the external opening)
Present     Abscent   
Main Complaint
Personal History
Laboratory Investigation Reports
(if any like blood sugar, BTCT )
Other information,might be helpful