| Info | Type |
| ---------------- | ------------------------------ |
| Name | text |
| Age | Number |
| Sex | toggle |
| Weight | Number |
| Address | text |
| Chief Complaints | text |
| Symptom | Level |
| ------------ | ------------------------------ |
| sleep | normal, disrupted, heavy |
| bowel | normal, constipation, frequent |
| Appetite | normal, disrupted, heavy |
| Digestion | normal, poor, heavy |
| stress | normal, heavy, poor |
| Micturition | normal, frequent, low |
| Tolerance | normal, hot, cold |
| Mensturation | normal, Scanty, heavy |
| LMP | Date |
| Med | Dose |
| --------------------- | -------------------- |
| Adhya Tablet | OD, BD, Hs, TDS, EOD |
| Awipatti Tablet | OD, BD, Hs, TDS, EOD |
| Madhuparni Tablet | OD, BD, Hs, TDS, EOD |
| Lekhniya Tablet | OD, BD, Hs, TDS, EOD |
| Vrahkarni Tablet | OD, BD, Hs, TDS, EOD |
| Rakta Shodak Tablet | OD, BD, Hs, TDS, EOD |
| Medhya Rasayan Tablet | OD, BD, Hs, TDS, EOD |
| Calvera Tablet | OD, BD, Hs, TDS, EOD |
| Punarnava Capsule | OD, BD, Hs, TDS, EOD |
| Maarkhav Capsule | OD, BD, Hs, TDS, EOD |
| Cystolve Tablet | OD, BD, Hs, TDS, EOD |
| Cystolve Capsule | OD, BD, Hs, TDS, EOD |