$re = '/(?:(?:V\d{1,2}\.\d{1,2})|(?:\d{1,3}\.\d{1,2})|(?:E\d{1,2}\.\d+))(?!\d|(?:\s*(?:kg|lb|mg)s?))/i';
$str = '134.57 or V23.54 or E33.62 134.57 lb or a lab result like 127.20 mg/dL';
preg_match_all($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