Medical Examination Report Document Template

A comprehensive report summarizing findings from a physical or medical examination.

Medical Examination Report

This document provides a comprehensive summary of findings from the physical and/or medical examination conducted for the individual named below. It includes personal information, examination details, medical history, diagnostic results, and physician recommendations.

Patient Information

Full Name	Date of Birth	Gender	Examination Date
{name} {surname}	{dateOfBirth}	{gender}	{examinationDate}

Vital Signs

Height	Weight	Blood Pressure	Heart Rate	Temperature
{height}	{weight}	{bloodPressure}	{heartRate}	{temperature}

Medical History

{^hasMedicalHistory}

No significant past medical history reported.

{/hasMedicalHistory}

{#hasMedicalHistory}

Existing Conditions: {existingConditions}
Medications: {medications}
Previous Surgeries: {previousSurgeries}
Allergies: {allergies}

{/hasMedicalHistory}

Clinical Findings

{clinicalFindings}

Laboratory / Diagnostic Test Results

{#$ tests.length > 0}

Test Name	Result	Normal Range	Remarks
{#tests}{testName}	{result}	{normalRange}	{remarks}{/tests}

{/}

{#$ tests.length == 0}

No laboratory or diagnostic tests were performed.

{/}

Physician's Notes and Recommendations

General Assessment: {generalAssessment}

Recommendations:

{#recommendations}

{recommendationText}

{/recommendations}

Physician Information

Name	Medical License No.	Signature	Date
{physicianName}	{licenseNumber}	{physicianSignature}	{reportDate}

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