Details
PatientInfo
- Is child enrolled in school
- Intervention plan
- IDP + PT 3/week
- Consanguinity
- Neck holding
- Achieved
- Food preferences
- Mixed
- HR
- Neuropsychiatric condition
- Place of Birth
- Hospitalization
- Tactile
- PatientId
- 164fdee6-39f0-4427-b2f9-e62996eda93f
- FollowUpId
- 9020de24-0cc4-4296-a02e-8fa9fd0351c5
- Child's Name
- Avyan Dubey
- Age
- 2 Year 7 Month 7 Days
- Gender
- Male
- DOB
- 2023-10-15
- 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
- 8982014573
- 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
- 3
- Hopes from the consultation