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Survey Form
Survey Form

SURVEY FORM

“Scientific Evaluation and Product Development from the Folk Medicines Used in the Province of Sindh “.

Biodata of the Person from Whom the Information was Taken:

Name:                                                                         Profession:                                         

Village:                                                            Taluka:                                                           

District:                                                           G.P.S. Reading:                                              

Field Trip Code:                                              Name of the Disease:                                 

           

Plant Code:                                                                                                                           

Vernacular Name of Plant:                                                                                                  

Botanical Name of Plant:                                                                                                     

Part of the Plant Used:                                                                                                        

Collection Status:                                          Place of Collection:                                      

Additive/ Herb Used:                                                                                                           

Recipe Preparation:                                                                                                             

                                                                                                                                               

                                                                                                                                               

Method of Use:                                                                                                                     

                                                                                                                                               

Age Group Prescribed for Treatment:                                                                                

Recovery Period:                                                                                                                  

Can this Herb be Used for Maintenance:                                                                           

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