Details

PatientInfo


Is child enrolled in school
Intervention plan
LDP 1/week + IEP (IDP + Preacad) 1/week + PMT 1/month
Consanguinity
Neck holding
Food preferences
HR
Neuropsychiatric condition
Place of Birth
Hospitalization
Tactile
PatientId
2130618e-def7-442f-93ff-8cc4eba39a44
FollowUpId
5a203499-9105-4074-8220-8a4a5dd116e2
Child's Name
Shivansh Prajapati
Age
3 Year
Gender
Male
DOB
2023-08-31
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
8085388346
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
age-appropriate
Repetitive behaviors (RRBs)
If yes- Details
Patterned behavior or activities
If yes- Details
Others
Details:
Reduced
Impression
Interaction improved with known people, understanding and vocabulary improved
Hopes from the consultation

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