Details

PatientInfo


Is child enrolled in school
Yes
Intervention plan
IDP 1/week + PMT 1/week
Consanguinity
No
Neck holding
Achieved
Food preferences
Mixed
HR
Neuropsychiatric condition
No
Place of Birth
Institutional
Hospitalization
No
Tactile
PatientId
4d1924c9-7b08-4375-8003-2b9bfc992f78
FollowUpId
00000000-0000-0000-0000-000000000000
Child's Name
Mohammad Humaid
Age
5 Year 1 Month 4 Days
Gender
Male
DOB
2021-08-06
Mother’s age (years)
35 years
Mother’s education
Mother’s occupation
homemaker
Father’s age (years)
38 years
Father’s education
Father’s occupation
Service
Type of family
Joint
Number of family members
12
Number of siblings
1
Details of siblings (Age and sex)
12 year old male
Address
Morena
Contact
8989957477
Referred By
Doctor
Informant
Parents
Chief concerns
Hyperactivity, inattention, behavioral concerns
Duration of symptoms
Since early childhood
Concerns noticed by school (if any)
Strengths of child
Interaction is good
Eye contact
Suboptimal
Interaction
frequent fights
Quality of Interaction
Repetitive behaviors (RRBs)
If yes- Details
Hand flapping
Patterned behavior or activities
If yes- Details
Others
Details:
Throwing objects, destructive play, doesnt understand social boundaries. Hitting++
Impression
Poor self regulation
Hopes from the consultation

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