Details
PatientInfo
- Is child enrolled in school
- No
- Intervention plan
- LDP 3/week + PMT 1/15 days
- Consanguinity
- Neck holding
- Food preferences
- Mixed
- HR
- Neuropsychiatric condition
- Place of Birth
- Hospitalization
- Tactile
- PatientId
- 1c3370a9-38cc-4fd4-9488-4e625e38685b
- FollowUpId
- 36ec84ae-96d7-4d0f-b208-956a2ee1f2c4
- Child's Name
- Rudra Aswal
- Age
- 3 Year 1 Month 17 Days
- Gender
- Male
- DOB
- 2023-09-05
- 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
- 7773013437
- Referred By
- Informant
- Chief concerns
- Duration of symptoms
- Concerns noticed by school (if any)
- Strengths of child
- 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