DR.

AADIL KASIM CHIMTHANAWALA™ CHAMBERS-

MBBS, MD(Med), BHMS, FNAHI, PGNAHI PhD(Hom sch) AADIL HOMEO CENTRES™-
HOMOEOPATHIC CARDIOLOGIST - Opp Gujarat lodge, near nilesh cycle store, Hanuman gali,
Reg. No. 85035 Sitabuldi, NAGPUR- 12, 11 am- 2pm, 6-7 pm (sun closed)
Sec: The National Academy of Homoeopathy India™ - Aaradhna complex, near rahul plywood,
Follow on Youtube, Instagram & Facebook old Gokulpeth P.O. road, NAGPUR- 10, 7-8.30 ( sat & sun closed)
@DrAadilchimthanawala™ - Shaad Hospital Complex NAGPUR- 2, 9-10.30 am ( sun closed)
- Shop No 9/10, Kedy Shopping Centre, 233/234
Bellasis road junction, opposite Hotel Sagar,
st
Nagpada MUMBAI,11am-5 pm(only 1 Sunday of every month)

HOMOEOPATHIC STANDARDISED CASE CARD OF DR AADIL CHIMTHANAWALA

Ref.No.: Date of First Visit -
Name of the Patient : Date of Follow up-
Age: Sex :
Address:
Occupation :

PRESENT COMPLAINTS in short : वर्तमान शिकायर्ें-

When did it start- ये कब िुरू हुआ-

Causation - कारण -
Complaints Increased by- आऩकी शिकायर्ें कैसे बढ़र्ी हैं-
Complaints Decreased by- आऩकी शिकायर्ें कैसे कम होर्ी हैं-

PHYSICAL GENERALITIES-
THERMAL : Hot or Cold preferred थमतऱ: गमत या ठॊ डा ऩसॊदीदा-

WEATHER/SEASON मौसम- you prefer or mention if it increases complaints- आऩ ऩसॊद करर्े हैं या उल्ऱेख करें कक क्या इससे शिकायर्ें बढ़र्ी हैं-

APPETITE-भूख-
Character -Increased, Diminished, Easy Satiety, Changeable बढ़ा हुआ,कम, आसान र्प्ृ तर्, ऩररवर्तनिीऱ-
Eating Habits - Regular or Irregular, with hunger or without hunger खाने की आदर्ें - ननयशमर् या अननयशमर्, भख
ू के साथ या बबना भख
ू के-
Any specific Desires/Aversion- कोई ववशिष्ट इच्छा/घण
ृ ा-
Any food increasing complaints- खाने ऩीने की कोई शिकायर्-

THIRST – how much do you drink & preference of cold hot or average- तयास - आऩ ककर्ना ऩीर्े हैं और ठॊ डा गमत या औसर् ऩसॊद करर्े हैं-

Disclaimer- This is as per telephonic/ video consultation with the patient. Tele-consultation has its own limitations. Patient is not present
physically. If you are facing any difficulty, please report to the nearest hospital.

Residence- Shaad Homoeopathic Hospital Complex & Research Centre, Near Itwari Railway Station, Nagpur- 440002
Ph- 0712-2766286, +91-9307965618 (whatsapp)- Please contact on this number for appointments & queries.
Email- shaadhospital@gmail.com
DR. AADIL KASIM CHIMTHANAWALA™ CHAMBERS-
MBBS, MD(Med), BHMS, FNAHI, PGNAHI PhD(Hom sch) AADIL HOMEO CENTRES™-
HOMOEOPATHIC CARDIOLOGIST - Opp Gujarat lodge, near nilesh cycle store, Hanuman gali,
Reg. No. 85035 Sitabuldi, NAGPUR- 12, 11 am- 2pm, 6-7 pm (sun closed)
Sec: The National Academy of Homoeopathy India™ - Aaradhna complex, near rahul plywood,
Follow on Youtube, Instagram & Facebook old Gokulpeth P.O. road, NAGPUR- 10, 7-8.30 ( sat & sun closed)
@DrAadilchimthanawala™ - Shaad Hospital Complex NAGPUR- 2, 9-10.30 am ( sun closed)
- Shop No 9/10, Kedy Shopping Centre, 233/234
Bellasis road junction, opposite Hotel Sagar,
st
Nagpada MUMBAI,11am-5 pm(only 1 Sunday of every month)

URINE- how much output and if any complaints- यरू रन- ककर्ना आउटऩटु और अगर कोई शिकायर्-

STOOLS/ LATRINE-how many times & any complaints मऱ/िौचाऱय-ककर्नी बार और कोई शिकायर्-

PERSPIRATION- quantity & where, if offensive or not- ऩसीना- मात्रा और कहाॉ, यदद आऩप्तर्जनक है या नहीॊ-
SEXUAL LIFE complaints of- यौन जीवन की शिकायर्ें-

MENSES complaints of: माशसक धमत की शिकायर्ें:-

SLEEP-in hours and disturbances if any सोने के घॊटे और गड़बड़ी यदद कोई हो-
DREAMS if any- सऩने यदद कोई हो-

MENTAL STATE -How do you describe your nature? Please mention in points, मानशसक प्थथनर् - आऩ अऩने थवभाव का वणतन कैसे करर्े
हैं? कृऩया बबॊदओ
ु ॊ में उल्ऱेख करें

PERSONAL HISTORY (ADDICTIIONS ETC)- व्यप्क्र्गर् इनर्हास (व्यसन आदद) –

PAST HISTORY- ANY ILLNESS SINCE CHILDHOOD- वऩछऱा इनर्हास- बचऩन से कोई भी बीमारी-
FAMILY HISTORY- ऩररवार के इनर्हास-
Father- - वऩर्ाजी-
Mother- माॊ-
Grand parents both sides- दादा-दादी दोनों ऩऺ
Brothers & sisters- भाइयों बहनों-
Children- बच्चे-
INVESTIGATION REPORTS – To be attached जाॊच ररऩोटत - सॊऱग्न ककया जाए
PREVIOUS PRESCRIPTION (In case of our existing patient) – To be attached वऩछऱा नुथखा (हमारे मौजूदा रोगी के मामऱे में) - सॊऱग्न ककया
जाए

Disclaimer- This is as per telephonic/ video consultation with the patient. Tele-consultation has its own limitations. Patient is not present
physically. If you are facing any difficulty, please report to the nearest hospital.

Residence- Shaad Homoeopathic Hospital Complex & Research Centre, Near Itwari Railway Station, Nagpur- 440002
Ph- 0712-2766286, +91-9307965618 (whatsapp)- Please contact on this number for appointments & queries.
Email- shaadhospital@gmail.com