Dr. Pawan Pareek's Homoeopathic Clinic
 
Serving the community
         
             
 
 
Online Treatment
 
Name
Sex
Age
Address
Email

Height

 Feet
Weight
 K.g.
Complexion

Colour of Hair
Presenting Complain
History of Presenting Complain
Past Complain
Causation
(If Any)
Family History
Habits -Alcohol, Tobocco, Drugs etc
Desires & Aversions
(What do you like in eating and drinking)
Any special liking for-
 (Hot & Cold, Sweets & Salty,
spicy food, Non veg, milk)
   

€ (Euro) 60.00
(sixty € (Euro) For each consultation)
In India Rupees 600/- medicinal and consultation charges for one month
* Note - Please send Cheque/Draft in favour of "Pawan Pareek " payable at Agra India.
 
Payment Option :
Cheque/DD No.
Date
Drawn on
For € (Euro)
 
BANK PAYMENT THROUGH SWIFT
INTERMEDIARY BANK- COMMERZ BANK, FRANKFURT, GERMANY, SWIFT CODE -COBADEFFXXX
FOR CREDIT TO –CANARA BANK, OVERSEAS BRANCH
SANJAY PLACE, M G ROAD AGRA, 282002 INDIA
SWIFT CODE- CNRBINBBAOB IFS CODE- CNRB0002341
BENIFICIARY A/C NO- 2341101000359
BENIFICIARY NAME- PAWAN PAREEK
 
 
   
   ADDRESS AND CONTACT DETAIL :
Dr. Pawan Pareek
28, Church Road Colony
Behind St. Paul School
Bagh Farzana
Agra, UP (INDIA)
ver_rule
Telephone
+91-562-2854481
 
+91-562-3295111
E-mail:
 
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