Patient's History

Patient's History

Please help us understand medical issue faced by you pet . NOTE - Vet Consultancy is Paid service
Full Name *

First Name Last Name
E-mail Address *
example@example.com
Contact Number *
Have you ever use Online vet Consultantion ?

Yes No
Who is your pet ? *

Dog Cat Turtle Rabbit Other
Breed ?
Pet gender *

Male Female
Age of pet
Approx. Weight of pet ? *
Is your fur baby vaccinated ? *

Yes No
Is your fur baby dewormed ? *

Yes No
Issue type *

Not eating or eating lesser Vomiting Diarrhoea or constipation or bloody stool Swelling or limping or injury Ear or Eye issue Are something bad Behavioural or diet plan New Pet PARENTS guidance Second opinion
Issue description *
Appointment
Overall Monthly expenses on your fur baby ( including treatment, food, extra services etc )

Below ₹ 500 ₹ 500 - ₹ 1000 ₹ 1000 - ₹ 1500 ₹ 1500 - ₹ 2000 ₹ 2000 - ₹ 3000 Above ₹ 3000
Disclaimer - We request all patrons to please be mindful that this teleclinic service is not a substitute for visiting a Vet clinic. We are commencing this online Vet Consultantion service in order to manage basic queries regarding your pets health & well being. At the end, if Vet deems it a requirement, you may be advised to visit a Veterinary clinic for a physical examination of your pet. If your pet is faced any emergency, please don't rely on Online or Phone or second opinion or teleconsultancy for resolving the issue *

Yes , I agree NO , I'm not agree
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