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| Full
Name * |
Sarode Dharmapal |
| Sex
|
MALE
Age 15 |
| Address |
| D No or H No |
|
| Lane |
Chaitraban Vasahat,Upper Indiranagar |
| Street |
Bibvewadi |
| City / Town |
pune-30 |
| State |
Maharashtra |
|
| Phone No. |
Residence
Office |
| Mobile No. |
Occupation
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| Reason for taking Magno |
MEDICAL DISORDER |
|
| Medical disorder for which you have consumed MAGNO |
|
Stomach pain.Taking after consulting doctor shepal |
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| For how much period have you consumed MAGNO ? |
02 Months |
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| How Much is the quantity of MAGNO you were consuming
daily ? |
ml |
2
times per day |
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| Have you found any improvement after starting MAGNO ? |
Yes |
| Please Describe the nature of improvement |
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| Within how much period after starting MAGNO, you found
the improvement |
03 Days |
| How much are you satisfied with the improvement |
VERY MUCH SATISFIED |
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| If you have observed improvement in medical disorder for
which you consumed MAGNO |
|
Was there any medical treatment going on for
the same disorder ? |
No |
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| Have you observed any side effects after starting MAGNO ? |
No |
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| Have you consuming any other nutritional supplement
during this period ? |
No |
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| Would you like to continue MAGNO ? |
Yes |
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Signature |
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