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SHIV SHAKTI PILES CLINIC

NO STRAIN NO PAIN

Dr. Deepak R. Shrivastav (M.B.B.S) (A.M), M.D.(A.M).

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Don't hesitate to contact us!

We get numerous cases of piles in our clinic and we have been able to help them get rid of the agonizing problem troubling them for years together without surgery.Alternative Medicines helps in relieving the pain, discomfort,bleeding and constipation and it also helps in reducing the pile mass.No surgery should be tried without trying Ayurvedicfirst. Please fill the following short 'Questionnaire' for our doctors to make a initial review of your case.

You can expect an e-mail reply from us very shortly.........................

1. You have pain at the anal region ?




2. Bleeding per rectum ?



3. Stools ?



4. Bowel habits ?


5. Pile mass ?





6. Itching at anus ?


7. Do you exercise ?




8. Any investigations done? (please mention the reports in the more symptoms column)


9. Are you an existing patient with Dr.Manoj's Homeopathy? If yes please give your Reg.No. in the more symtoms column.


10. More Symptoms



11. Personal Details

Name :

Age :

Gender :

Email-Id :

Phone :

Location / City :

12. Are you an existing patient with Dr.Deepak R. Shrivastav ?



Patient Number :


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SPECIALIST FOR PILES, FISSURE, FISTULA & SEX

(+91) 97 7391 6033 / 98 6979 0053

info@shivshaktipilesclinic.com

Shop No. 1, Lakhani Heritage, Plot No. 22, Sector 5, Near Gokul Dairy, New Panvel. Maharastra.

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