PRELIMINARTY DATA:
- Name:
- Age:
- Gender:
- Occupation:
- Address:
GENERAL PHYSICAL EXAMINATION:
- Pallor: Not present
- Icterus: Not present
- Cyanosis: Not present
- Clubbing: Not present
- Oedema: Not present
- Lymphadenopathy: Not present
VITAL SIGNS:
- Pulse:_____ bpm
- BP: ___/___ mmHg
- RR: _____ cycles/min.
- Temp:_____ deg. C
REPORT:
The Clinical Examination of Cranial Nerves 7 to 12 of the subject ________ aged ___ yrs is found to be normal.