Profile
Log Out
Main Menu
Dashboard
Pre Booking
Create Pre Booking
View Pre Booking
Masters
Doctor Master
Disease / Symptoms
Session Timing
Patients
Create Patient
Patient Management
Patient Reports
Consultation & Assessment Fees
Create Fees
View Fees
Receipt
Create Receipt
View Receipt
Appointments
Make Appointment
View Appointment
Today Appointments
Appointments Reports
Patient Appointments History
Appointment Billing
Billing
Physio Review
Patient Assessment - Page 1 (Edit)
Date *
Patient Name *
PR No
Age / Gender *
F
M
T
Contact No
Reference
Address
anamalaiyar colony, sivakasi
Occupation Type *
Select
Government
Non-Government
Senior Citizen
Others
Designation
Nature of Work
Select
Active
Desktop
Field
Travel
House Holder
others
Vitals
HEIGHT
WEIGHT
BP
PR
TEMP
SPO2
Other Health Issues & Treatment History
-
+ Add Row
History of Present Complaints
past 3weeks of BL knee pain playing basket ball weekly 6days and gym 6days upper body 3days lowerlimb and jumps; 3days pain getting reduced gradually after rest
Onset
Sudden
Insidious
Gradual
Treatment Taken
iced sathyan, PT - inflammation
Investigation Details
Not Taken
Done , Not Produced
Attached with Case Sheet
Current Physiotherapy Episode
1
2
>3
Previous Session Details
LLLT UST No exercise
Update
Present Complaints
pain on BL knee pain pain starts on half squat and reduces on deep squats and reoccurs on return to stand pain gets increased at initiation of jump
Symptoms
Constant
Intermittent
Worsening Factors
Relieving Factors
Pain Chart Notes
Pain Scale
Worst
Same
Better
VAS
At Worst
At Best
Pain Type
Nociceptive
Neuropathic
Nociplastic
Skin Colour
Scar
Adherent
Non-Adherent
No Scar
Swelling
Soft Fluctuating
Leathery
Tough
Dry
Tened
Hard
Boggy
Spongy
Thick
8 to 24 Hours of Injury
Tenderness
Grade I
Grade II
Grade III
Grade IV
Remarks
Update
Edit - Page 3
Dashboard
Patient Management
Edit - Page 3
ROM
AROM
Movement
Side
Part
Plane
Available Range
Pain Starts
Action
Select
Left
Right
Select
Neck
Wrist
Shoulder
Elbow
Spine
Hip
Knee
Ankle
Select
Sagittal
Frontal
Transverse
-
+ Add AROM
PROM
Movement
Side
Part
Plane
Available Range
Pain Starts
Action
Select
Left
Right
Select
Neck
Wrist
Shoulder
Elbow
Spine
Hip
Knee
Ankle
Select
Sagittal
Frontal
Transverse
-
+ Add PROM
End Feel
Soft
Firm
Hard
Empty
MMT
-
+ Add MMT
Special Tests
Special Test 1
Special Test 2
Remarks
Diagnosis
Patient Goals & Concerns
Physiotherapy Goals
Short Term Goals
Long Term Goals
Action
-
+ Add Goal
Further Referral (if needed)
Physiotherapist Details
Assessed Physio Name
IAP Membership No.
Treatment In-Charge Name
IAP Membership No.
Update
Electrotherapy
Modality
Site
Details
Date
Remarks
Action
-
+ Add Row
Supportive Techniques
Technique
Details
Date
Remarks
Action
-
-
-
-
+ Add Row
Corrective Exercises
S.No
Exercise
Sets
Reps
Time
Date
Remarks
Action
1
-
2
-
3
-
4
-
5
-
6
-
7
-
8
-
9
-
10
-
11
-
12
-
+ Add Row
Date
Remarks
Review done on 02/04/26 - Pain settled upto 60% Exercises revised - From No.8 to 12 Advised to do Leg curl, leg extension and leg press machine in gym
Update
