Details
PatientInfo
- Is child enrolled in school
- Yes
- Intervention plan
- Consanguinity
- No
- Neck holding
- Achieved
- Food preferences
- Picky eater
- HR
- Neuropsychiatric condition
- No
- Place of Birth
- Institutional
- Hospitalization
- Yes
- Tactile
- PatientId
- 0441c09a-5d52-44b7-834f-43f24ddb3e04
- FollowUpId
- 00000000-0000-0000-0000-000000000000
- Child's Name
- Atharv Sharma
- Age
- 12 Year 5 Month 17 Days
- Gender
- Male
- DOB
- 2014-03-09
- Mother’s age (years)
- Mother’s education
- Mother’s occupation
- Father’s age (years)
- Father’s education
- Father’s occupation
- Type of family
- Nuclear
- Number of family members
- 4
- Number of siblings
- 1
- Details of siblings (Age and sex)
- 9 year old male
- Address
- Bhopal
- Contact
- 7869353525
- Referred By
- Healthcare worker
- Informant
- Chief concerns
- Inattention, declining academic performance, procastination, distractibility
- Duration of symptoms
- Concerns noticed by school (if any)
- Distractibility
- Strengths of child
- Good interaction
- Eye contact
- Sustained
- Interaction
- Quality of Interaction
- age-appropriate
- Repetitive behaviors (RRBs)
- If yes- Details
- Patterned behavior or activities
- If yes- Details
- Others
- Details:
- Impression
- Hopes from the consultation