Hashmi Unani Pharmacy

The following proforma is formulated to help you to specify your problems correctly & this enable to analyze your ailments accurately. Our chief Hakeem Saheb personally goes through every e-mail & a panel of expert Hakeems review every individual case. Our unani medicines has a legacy of more than 1000 years of tradition & knowledge and our medicines are prepared strictly in accordance with the age old medical scripts, texts & manuals of unani practice with the help of modern scientific tools. Now world renowned western doctors has conceded that where modern medicine failed to cure, there "unani herbalism" steps in to cure the incurable. Today unani medicine is recognized worldwide by World Health Organization (WHO) as one of the alternative system of medicines & forms an integral part of national health care delivery system. For those who are unable to find a solution, we show them right direction through our valuable consultation. We remind you that the root cause of all sexual disorders lies in the ignorance, bad habits, wrong life styles & unnatural sex acts of younger days. These destroy one’s own body & health. Our treatment will certainly help you to live a long life free from these diseases.

For Complete Treatment Of Sexual Disorders

Patient's Name E-mail
Address
House No. Street
State City
Zip Code Country
Age Weight Height Occupation
Topic MainProblem?
Is semen passing? Before Urination After Urination After Stool
Does night discharge occurs? Yes No
Penis bent or loose towards the leftside? Yes No
Feel weakness after the intercourse? Yes No
suffering from premature ejaculation? Yes No
Get perfect erection before intercourse? Yes No
Duration of your intercourse?
Habit of masturbation? Yes No If so , since how long?
Which type of food you take ?
Do you have the following:
Syphillis Yes No Gonorrhea Yes No Heart problem Yes No
Appendicities Yes No Contagious disease Yes No
Hydroxyl Yes No Blood pressure Low High
What do you feel whenever you see a girl?(If you are not married)
Length of your organ before erection and after erection
Your underwear get wet when seeing nude photographs? Yes No
Sleep well? Yes No Habit of Homosex Yes No
Details of previous treatment/operation If any?
Details of anyof your road accidents? If so, please furnish the full details & complete test reports?
Do you take your food timely? Yes No
Is your wife older than you? Yes No If so how many years?
Have you done semen analysis ? Yes No If so attach the test report.
Habit of alcoholic drinks ? Regular Occasional
Suffered from chicken pox ? Yes No
Your partner suffering from any sexual problems ? Yes No
Ever been treated for sexual disorder? Yes No
If so, What kind of treatment?
Homeopathic Allopathic Ayurvedic Unani
If you want to mention anything more, write in detail in this box

To help you to specify your problems correctly we have formulated this proforma and this enable us to treat you more effectively and accurately. So please fill it carefully and send us with your complete address, so the medicines will reach you immediately.

info@hashmi.com