$re = '/\b(?<!\.)\d{1,2}[/-]\d+[/-]\d{2,4}\b/';
$str = 'Lithium 0.25 (7/11/77). LFTS wnl. Urine tox neg. Serum tox + fluoxetine 500; otherwise neg. TSH 3.28. BUN/Cr: 16/0.83. Lipids unremarkable. B12 363, Folate >20. CBC: 4.9/36/308 Pertinent Medical Review of Systems Constitutional:';
preg_match_all($re, $str, $matches, PREG_SET_ORDER, 0);
// Print the entire match result
var_dump($matches);
Please keep in mind that these code samples are automatically generated and are not guaranteed to work. If you find any syntax errors, feel free to submit a bug report. For a full regex reference for PHP, please visit: http://php.net/manual/en/ref.pcre.php