Normal Physical Exam Template Samples – MT Sample Reports Normal Physical Exam Template Samples. Physical Exam Format 1: Subheadings in ALL CAPS and flush left to the margin. PHYSICAL EXAMINATION: GENERAL APPEARANCE: The patient is a [x]-year-old well-developed, well-nourished male/female in no acute distress. VITAL SIGNS: Blood pressure [x] mmHg, pulse rate [x] beats per minute,..[PDF] SAMPLE INITIAL PAIN MANAGEMENT TEMPLATE consultation for pain management evaluation. History obtained is that the patient is 45 years of age, male, right-handed, no history of any known allergies, he presents with a chief complaint of neck pain, which radiates down to the right upper extremity with numbness and tingling in the right biceps.
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