Patient's Name:

Refered By:
Date of PASI test: 2024-07-03


PASI SCORE:

Head and Neck
Skin Area Involved palms
Area Score
Redness
Thickness
Scale
TOTAL:
 
Upper Extremities
Skin Area Involved palms
Area Score
Redness
Thickness
Scale
TOTAL:
 
Trunk
Skin Area Involved palms
Area Score
Redness
Thickness
Scale
TOTAL:
 
Lower Extremities
Skin Area Involved palms
Area Score
Redness
Thickness
Scale
TOTAL:
Free PASI Calculator at pasitraining.com