Patient Checklists

First Name

Last Name

Date of Birth

Mobile No

Gender

Date of the Surgery Operation

Weight Loss

Have you ever had a coronavirus?

Have you been hospitalized for an infection?

How many days have you been hospitalized for an infection?

Has anyone in the family been infected?

If the above question is positive, is he hospitalized?

In case of any of the following symptoms, please inform us for guidance and virtual visit.

Fever above 38 degrees

Sore throat

Runny nose and tears from the eyes

Pink eye conjunctiva

Body pain

Dry cough

Shortness of breath during activity or talking

Sudden loss of taste and smell

Severe anorexia

Diarrhea

Due to the scarcity of some drugs, which are especially effective in the early stages of the disease and prevent the disease from becoming severe and require hospitalization, so inform at the beginning and start of the disease and keep in mind that the most effective way is to prevent.