Details
PatientInfo
- Is child enrolled in school
- No
- Intervention plan
- Home Based Program
- Consanguinity
- Neck holding
- Food preferences
- Mixed
- HR
- Neuropsychiatric condition
- Place of Birth
- Hospitalization
- Tactile
- PatientId
- fb04ed30-11ff-424d-b49b-247a3860095f
- FollowUpId
- ee3459b1-742c-4838-bb9b-4694f7bb1151
- Child's Name
- Ankush Rajavat
- Age
- 4 Year 9 Month 19 Days
- Gender
- Male
- DOB
- 2021-07-15
- 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
- 8889626917
- Referred By
- Informant
- Chief concerns
- Duration of symptoms
- Concerns noticed by school (if any)
- Strengths of child
- Eye contact
- Suboptimal
- Interaction
- Quality of Interaction
- limited
- Repetitive behaviors (RRBs)
- If yes- Details
- Patterned behavior or activities
- If yes- Details
- Others
- Details:
- Impression
- Hopes from the consultation