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Arti Maggo
Arti Maggo

The patient case history and feedback report summarizes a patient's medical history, examination results, provisional diagnosis, laser therapy treatment, and feedback on their experience. The patient reported improvements in pain, swelling, and range of motion after receiving Class IV laser therapy treatment. They were satisfied with the quality of treatment and experience at the clinic.

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ReportPresentedby:_______________________ PATIENT CASE HISTORY & FEEDBACK REPORT Name:______________________ Age/Gender__________ Mob No. _______________ E-Mail Id:____________________ PresentingComplaints__________________________________________________________________________________ _____________________________________________________________________________________________________ AnyMedical/Surgical History____________________________________________________________________________ Observation& Examination PainScale_________________ Deformity________________ Swelling__________________ Tenderness_______________ Muscle Strength____________________________________ ROM______________________________________________ AnyInvestigationDone__________________________________________________________________________________ Provisional Diagnsis____________________________________________________________________________________ Treatment Details: Patient Feed Back: 1 How doyou feel now ? __________________________________________________________________________ 2 What difference youfindthe dayyoucame for therapyandtoday ?_______________________________________ 3 How was your experience withClassIV LaserTherapy?_________________________________________________ 4 How wasthe qualityof treatment ?_________________________________________________________________ 5 Is there anysuggestionyoulike toprovide ?__________________________________________________________ 6 AnyOther? ____________________________________________________________________________________ Signature of Patient

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Report presented by

  • 1. ReportPresentedby:_______________________ PATIENT CASE HISTORY & FEEDBACK REPORT Name:______________________ Age/Gender__________ Mob No. _______________ E-Mail Id:____________________ PresentingComplaints__________________________________________________________________________________ _____________________________________________________________________________________________________ AnyMedical/Surgical History____________________________________________________________________________ Observation& Examination PainScale_________________ Deformity________________ Swelling__________________ Tenderness_______________ Muscle Strength____________________________________ ROM______________________________________________ AnyInvestigationDone__________________________________________________________________________________ Provisional Diagnsis____________________________________________________________________________________ Treatment Details: Patient Feed Back: 1 How doyou feel now ? __________________________________________________________________________ 2 What difference youfindthe dayyoucame for therapyandtoday ?_______________________________________ 3 How was your experience withClassIV LaserTherapy?_________________________________________________ 4 How wasthe qualityof treatment ?_________________________________________________________________ 5 Is there anysuggestionyoulike toprovide ?__________________________________________________________ 6 AnyOther? ____________________________________________________________________________________ Signature of Patient