Details
PatientInfo
- Is child enrolled in school
- No
- Intervention plan
- IDP 2/week + PMT 1/week
- Consanguinity
- Neck holding
- Food preferences
- Mixed
- HR
- Neuropsychiatric condition
- Place of Birth
- Hospitalization
- Tactile
- PatientId
- 0d2e4d67-2a21-41dc-b1fd-9352cecc7b32
- FollowUpId
- 87cf4ffd-84a1-41b1-9fec-9460a00185ca
- Child's Name
- Dherya Bhilwar
- Age
- 7 Year 2 Month 28 Days
- Gender
- Male
- DOB
- 2019-04-24
- Mother’s age (years)
- Mother’s education
- Mother’s occupation
- Father’s age (years)
- Father’s education
- Father’s occupation
- Type of family
- Number of family members
- Number of siblings
- Details of siblings (Age and sex)
- Address
- Contact
- 9827285970
- Referred By
- Informant
- Chief concerns
- Duration of symptoms
- Concerns noticed by school (if any)
- Strengths of child
- Eye contact
- Fleeting
- Interaction
- Quality of Interaction
- avoids
- Repetitive behaviors (RRBs)
- If yes- Details
- Patterned behavior or activities
- If yes- Details
- Others
- Details:
- Impression
- ?ASD
- Hopes from the consultation