+91-9864419548

info@wealthandwellnesss.com

   info@wealthandwellnesss.com

+91-9864419548

Healing FeedBack

FEEDBACK FROM PATIENTS
MM slash DD slash YYYY
Before Healing(Required)
After Healing(Required)
FINAL STATUS OF THE PATIENT
(Please make the comments here measurable and specific, you may attach medical reports before and after healing)
Signature of Patient
Accepted file types: jpg, jpeg, png, gif.
Signature of Healer
HEALER'S FINAL COMMENT
Total number of healing done
Is the healing still continue