Ayush Certified Tele-Health

Online Consultation & Prescription Portal

Fill in your symptoms and clinical details to receive a personalized Ayurvedic prescription approved by certified BAMS & MD Ayurvedic physicians.

1

Patient Information

Provide exact details for your official Ayush medical record.
2

What Health Concerns or Problems Are You Facing? *

Select all that apply to your current condition:
3

Detailed Description of Your Problems & Concerns *

Please describe properly in detail: When did your anxiety/insomnia/unfocused state start? What are your daily triggers? How does it affect your sleep, work, or routine? Have you tried any medications before?
4

Medical Background & Current Medications

Helps the Ayurvedic doctor safely customize your formulation dosage.

Track Your Medical Consultation

Enter your Consultation Reference ID or the Email Address you used while submitting the form.

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Doctor Authentication Required

Only verified Ayurvedic medical practitioners and clinic administrators can access patient medical records and approve prescriptions.

Pending Doctor Review

Clinical Patient Review

Consultation Ref: -
Patient Name: -
Age / Gender: - Yrs / -
Contact: -
Email: -
City: -
Diagnosed Health Concerns:
Detailed Symptom Description (Submitted by Patient):
Medical Background / Ongoing Medications: -
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Ayurvedic Prescription & Rx Formulation

Fill in formulation details to generate the official Ayush PDF prescription and dispatch to patient.
Upload your signature image (.png, .jpg, .webp). It will be digitally embossed on the official PDF prescription.
No Signature Uploaded
(Default font used)
PDF Attachment Preview
Leave empty to use the auto-generated official Monk's Hemp Ayush PDF, or upload an offline signed copy (.pdf, image).