Details

PatientInfo


Is child enrolled in school
No
Intervention plan
IDP 5 days/week + PMT 1/month
Consanguinity
No
Neck holding
Achieved
Food preferences
Mixed
HR
Neuropsychiatric condition
No
Place of Birth
Institutional
Hospitalization
No
Tactile
PatientId
73d21c87-a8e0-4280-bffc-ade977c7f671
FollowUpId
49db2df7-03e6-44ac-9fff-635d5606ef35
Child's Name
Rudra Pratap Bhadoriya
Age
2 Year 9 Month 29 Days
Gender
Male
DOB
2023-10-06
Mother’s age (years)
Mother’s education
Mother’s occupation
Father’s age (years)
Father’s education
Father’s occupation
Type of family
Joint
Number of family members
3
Number of siblings
0
Details of siblings (Age and sex)
Address
Bhind
Contact
8236037457
Referred By
Doctor
Informant
Mother
Chief concerns
Behavioral concerns
Duration of symptoms
Concerns noticed by school (if any)
Strengths of child
Eye contact
Suboptimal
Interaction
Quality of Interaction
avoids
Repetitive behaviors (RRBs)
If yes- Details
Hand flapping, looks from corner of eyes, opening closing drawer
Patterned behavior or activities
If yes- Details
Others
Details:
biting, pulling hairs
Impression
GDD
Hopes from the consultation

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