đ āĻĒā§āĻ°āĻžāĻ¤āĻ¨ āĻ°ā§āĻā§āĻ° āĻšāĻŋāĻ¸ā§āĻā§āĻ°āĻŋ āĻā§āĻāĻā§āĻ¨ (Patient History)
āĻĄāĻŋāĻĒāĻŋāĻāĻ°āĻ¸āĻŋ āĻ āĻ°ā§āĻĨā§āĻĒā§āĻĄāĻŋāĻ āĻ āĻĢāĻŋāĻāĻŋāĻāĻĨā§āĻ°āĻžāĻĒāĻŋ āĻ¸ā§āĻ¨ā§āĻāĻžāĻ°
āĻĸāĻžāĻāĻž, āĻŦāĻžāĻāĻ˛āĻžāĻĻā§āĻļ | āĻĢā§āĻ¨: ā§Ļā§§ā§XXXXXXXX
āĻŦāĻŋāĻļā§āĻˇāĻā§āĻ āĻĒā§āĻ¯āĻžāĻ¨ā§āĻ˛
Reg No: BMDC/XXXXX
āĻ°ā§āĻā§: ___________
āĻŦā§āĻ¸/āĻ˛āĻŋāĻā§āĻ: __ Y / Male
āĻŽā§āĻŦāĻžāĻāĻ˛: ___________
āĻ¤āĻžāĻ°āĻŋāĻ: 13/06/2026
Pain Score: 5/10
ROM: Functional
Diagnosis / āĻ°ā§āĻ:
āĻ°ā§āĻ āĻ¨āĻŋāĻ°ā§āĻŦāĻžāĻāĻ¨ āĻāĻ°āĻž āĻšā§āĻ¨āĻŋ
Rx
- āĻā§āĻ¨ā§ āĻāĻˇā§āĻ§ āĻ¯ā§āĻ āĻāĻ°āĻž āĻšā§āĻ¨āĻŋ
⥠Physio Modality
- āĻĒā§āĻ°ā§ā§āĻāĻ¨ āĻ¨ā§āĻ
đââī¸ Home Exercises
- āĻĒā§āĻ°ā§ā§āĻāĻ¨ āĻ¨ā§āĻ