ONLINE CONSULTATION FORM

NOTE: Online Consultation is paid

Anyone can take online consultation using email, phone or skype. You will have to Pay through Paypal or direct Bank deposit for online Consultation.

online consultation
For Patients within India: 500 INR

For Patients outside of India: 20 USD

For Patients coming directly to Clinic: 200 INR

Please Click on the following link to get details:

How to Get Medicine

    NAME(required)

    AGE and SEX (required)

    PLACE

    MAIL ID(required)

    CONTACT NO

    TYPE OF JOB

    PHYSICAL ACTIVITY

    CONSTIPATION

    MARITUAL STATUS

    DIET

    SMOKING

    ALCOHOL

    STRESS

    SLEEP

    TRAUMA/INJURY TO PELVIC REGION

    MASTURBATION(in past)

    MASTURBATION(in present)

    ANY TYPE OF SURGERY

    ERECTILE DYSFUNCTION

    PRE MATURE EJACULATION

    NIGHT FALL

    ANY TYPE OF MEDICINE CONSUMPTION

    ANY BLOOD TEST REPORT

    SEMEN ANALYSIS

    DISEASES

    DISEASES DETAILS

    adminONLINE CONSULTATION FORM