<%@ page language="C#" autoeventwireup="true" inherits="consulting, khokar_deploy" %> Khokar Dispensary
 
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Case Record Sheet For Online Consultation
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Body type: Slim Average About Average Athletic A few extra kilos Large/Heavy
Diet: Veg Occasionally Non-Veg Non-Veg
Sleep: Disturbed Timely Untimely Sound
Bowels Habits: Normal Constipated
Smoke: Yes No Occasionally
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Present Complaint: Erectile Dysfunction (E.D) Premature Ejaculation (P.E) E.D + P.E Penile Enhancement Nocturnal Emissions(Wet Dreams) Syphilis Gonorrhoea Genital-Herpes Male Infertility Prostate Enlargement Others
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Laboratory Investigation Reports (if any):
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CONSULTATION DETAILS ARE KEPT CONFIDENTIAL