Client Name	Ruchit Majithia	Age	32
Gender	Male	Marital Status	Married
Weight	99	Height	176
BMI	32	Ideal Wt	76
Email	ruchitmajithia@gmail.com	Mobile	6825831973
First Consultation Date	14 June 2026 18:54:17	Next Review Date	01 January 1970 00:00:00
Record creation date	19 October 2023 06:03:18	ClientID	32
Address	oregon, USA

Chief complaint *

Family History *

Current medication *

Surgical History *

Menstrual History *

Pregnancy details *

Health Goals *

Health goal technique *

Current weight since *

Activity Yoga *

Activity Cardio *

Activity Training *

Activity Sports *

Activity others *

Average sleep hours *

Do you associate any digestive symptoms with eating certain foods?

Do you have regular bowl movement?

Have you made any recent changes your diet for any reason?

Diet change reason *

Culture *

Diet prefrences *

Strong likes & Dislikes *

Allergic food *

Wakeup Time *

Sleep Time *

Meal Schedule *

Final Diagnosis *

Next review date *