Details
PatientInfo
- Is child enrolled in school
- No
- Intervention plan
- IDP + PT
- Consanguinity
- Neck holding
- Food preferences
- Mixed diet
- HR
- Neuropsychiatric condition
- Place of Birth
- Hospitalization
- Tactile
- PatientId
- 84305f3d-c740-4269-a6e7-de04ac7ca186
- FollowUpId
- 139b9c91-0309-457d-9e45-6b93231635c0
- Child's Name
- Pravin Sharma
- Age
- 15 Year 1 Month 7 Days
- Gender
- Male
- DOB
- 2011-08-30
- 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
- 7000313227
- Referred By
- Informant
- Chief concerns
- Duration of symptoms
- Concerns noticed by school (if any)
- Strengths of child
- Eye contact
- Sustained
- Interaction
- Quality of Interaction
- Repetitive behaviors (RRBs)
- If yes- Details
- Patterned behavior or activities
- If yes- Details
- Others
- Details:
- Impression
- Mixed CP. ID.
- Hopes from the consultation