Details

PatientInfo


Is child enrolled in school
No
Intervention plan
IDP 1/week + LDP+ Preacad 2/week + PMT 1/month
Consanguinity
Neck holding
Food preferences
Mixed
HR
Neuropsychiatric condition
Place of Birth
Hospitalization
Tactile
PatientId
ed94098c-f242-4086-9096-a450421bb936
FollowUpId
8cecc358-ecda-4928-9d7d-1568397c576d
Child's Name
Shiva Tomar
Age
5 Year 1 Month 4 Days
Gender
Male
DOB
2021-07-17
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
7489177440
Referred By
Informant
Chief concerns
Duration of symptoms
Concerns noticed by school (if any)
Strengths of child
Eye contact
Suboptimal
Interaction
Improved
Quality of Interaction
avoids
Repetitive behaviors (RRBs)
If yes- Details
Patterned behavior or activities
If yes- Details
Others
Details:
Impression
Improved interaction, understanding, participation in ADLs, started using few kinship words
Hopes from the consultation

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