Details
PatientInfo
- Is child enrolled in school
- Yes
- Intervention plan
- IDP 2/week + PMT 1/week
- Consanguinity
- Neck holding
- Food preferences
- Mixed
- HR
- Neuropsychiatric condition
- Place of Birth
- Hospitalization
- Tactile
- PatientId
- 802c94af-985c-4e91-b88a-5474a63abb81
- FollowUpId
- 7e18f700-e2bf-4819-8c15-3e9ec1025aa5
- Child's Name
- Manas Bhadoriya
- Age
- 4 Year
- Gender
- Male
- DOB
- 2022-06-07
- 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
- 9340674913
- Referred By
- Informant
- Chief concerns
- Duration of symptoms
- Concerns noticed by school (if any)
- Strengths of child
- Eye contact
- Suboptimal
- Interaction
- Quality of Interaction
- avoids
- Repetitive behaviors (RRBs)
- If yes- Details
- spinning, stimming, screaming reduced
- Patterned behavior or activities
- If yes- Details
- Others
- Details:
- Impression
- Hopes from the consultation