CHART 08 / CLINICAL EXAMINATION

Clinical Examination Templates

Tablet-ready digital proformas for a complete patient examination, one per department — built for ward-class teaching, practical long cases, and MD/MS final examinations, and equally usable by senior doctors for day-to-day documentation.

MBBS + MD/MS Tablet / iPad 9 Departments

Who this is for

One set of screens, four uses:

Each template is a single, self-contained page that opens and runs entirely offline — no internet or server needed — and works well on an Android tablet or iPad held at the bedside.

Why checklists, not handwriting

In current practice, only the positive findings get written down, and they get written by hand. Two things make that hard to digitize after the fact: not every doctor's written English or grammar is strong, and handwriting itself is often not legible — including to the doctor who wrote it. That combination means scanning a handwritten note and running it through NLP does not produce a reliable record; the source text itself is too inconsistent.

These templates work the other way around: every system is laid out as a checklist — present/absent sign tables, normal/abnormal systemic exam tables, tick-and-detail investigation rows — so the student or doctor is examining and marking findings directly on the device, not writing free text to be interpreted later. A summary section at the end auto-populates itself from whatever has been ticked, in a fixed clinical order. Checking the maximum number of relevant items, rather than writing the minimum, is what keeps the final digital record complete and minimizes errors of omission.

How it works

During the examination

  1. Open the template for the relevant department on a tablet.
  2. Work through each section — history, general exam, systemic exam, department-specific findings — ticking as you go.
  3. Free text is used only where a finding genuinely can't be enumerated (e.g. exact measurements, a special test's narrative).

At the end

  1. The master summary regenerates automatically from every ticked field, in fixed clinical order — not the order things were ticked.
  2. Save the filled form, print it as an A4 record, or load a saved case back in.
  3. For teaching, the completed proforma doubles as a record of what was — and wasn't — examined.

Open a template

One proforma per department, same design throughout: