Elimination Of Diabetes India

Name
Sex	Male Female
Age
Profession
Address
Email
Marital Status	Married	Unmarried
Marital Status	Single	Divorcee
Education
Blood Pressure
Weight	Kilograms
Height	Feet Inches
Are u a:	Vegetarian	Non-Vegetarian
Dependence on	Alcohol	Drugs
Dependence on	Smoking	Coffee/Tea
Chief Complaint
Personal History
Family History
Laboratory Investigation Reports (if any)
USG/MRI/Scan
Other Information Which you think might be helpful