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.

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