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| Full
Name * |
Kolpe Sanjay Ramchandra |
| Sex
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MALE
Age 30 |
| Address |
| D No or H No |
|
| Lane |
Parvati Vasahat |
| Street |
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| City / Town |
Pune |
| State |
Maharashtra |
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| Phone No. |
Residence
Office |
| Mobile No. |
Occupation
riksha |
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| Reason for taking Magno |
MEDICAL DISORDER |
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| Medical disorder for which you have consumed MAGNO |
|
Suffering from body pain,HIV.Taking 10ml per day after consulting to doctor shepal |
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| For how much period have you consumed MAGNO ? |
03 Months |
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| How Much is the quantity of MAGNO you were consuming
daily ? |
10 ml |
2
times per day |
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| Have you found any improvement after starting MAGNO ? |
Yes |
| Please Describe the nature of improvement |
|
-Loose motions stopped
-Appetite increased
-weight gain
-Not feeling that I am HIV positive |
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| Within how much period after starting MAGNO, you found
the improvement |
10 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 |
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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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