Details
PatientInfo
- Is child enrolled in school
- Yes
- Intervention plan
- Home strategies adviced
- Consanguinity
- No
- Neck holding
- Achieved
- Food preferences
- Mixed
- HR
- Neuropsychiatric condition
- No
- Place of Birth
- Institutional
- Hospitalization
- Yes
- Tactile
- PatientId
- 22bff980-0067-4a11-994e-5ee5f2bb3cae
- FollowUpId
- 00000000-0000-0000-0000-000000000000
- Child's Name
- Varun Kushwah
- Age
- 7 Year 7 Month 14 Days
- Gender
- Male
- DOB
- 2018-12-21
- Mother’s age (years)
- 30 years
- Mother’s education
- Mother’s occupation
- Homemaker
- Father’s age (years)
- 30 years
- Father’s education
- Father’s occupation
- Private
- Type of family
- Joint
- Number of family members
- 4
- Number of siblings
- 2
- Details of siblings (Age and sex)
- 1- 10 year old female, 2- 4 year old female
- Address
- Contact
- 9098900525
- Referred By
- Doctor
- Informant
- Father, grandmother
- Chief concerns
- Speech delay, poor understanding
- Duration of symptoms
- Concerns noticed by school (if any)
- Strengths of child
- Eye contact
- Sustained
- Interaction
- Quality of Interaction
- avoids
- Repetitive behaviors (RRBs)
- If yes- Details
- Hand flapping
- Patterned behavior or activities
- If yes- Details
- Others
- Details:
- Stranger anxiety
- Impression
- ID
- Hopes from the consultation