A Medical report template represents how a medical report of an individual patient is framed. This kind of template help doctors to keep records about a patient’s health which might be used for further reference in future if required. They contain the complete details of a patient’s disease found on health assessment.
Sample Medical Report Template
Report prepared for: ______________________________ [mention the name of the person for whom the report is being prepared]
Age: _________
Contact: ____________ [Mention contact number, email or fax of the patient]
Doctor’s name ______________________
Reason for medical assessment: _______________________ [mention the present symptoms of the patient]
Medicines referred ___________________________ [name of all the medicines referred]
Family medical history ____________________ [Mention if any of the parents or close relatives has suffered from any acute diseases]
Past medical history ___________________ [mention patient’s earlier complications if any]
Examination and findings: ________________ [result of patient’s health assessments]
Signature _________________________ [Signature of the person who has prepared the report] Date ____________ [mention the date when the report is being prepared]
Download Medical Report Template in Word Format