Details
PatientInfo
- Is child enrolled in school
- Yes
- Intervention plan
- Consanguinity
- No
- Neck holding
- Achieved
- Food preferences
- HR
- Neuropsychiatric condition
- Yes
- Place of Birth
- Institutional
- Hospitalization
- Tactile
- PatientId
- 5880c3d8-8b8a-4b5b-8f06-1083159ccc77
- FollowUpId
- 91c26281-1d68-467d-9599-5e1f3ba646fb
- Child's Name
- Vaidhav Singh Gurjar
- Age
- 6 Year 9 Month 26 Days
- Gender
- Male
- DOB
- 2019-11-13
- 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
- 9755215357
- Referred By
- Informant
- Chief concerns
- Stuttering
- Duration of symptoms
- Concerns noticed by school (if any)
- Strengths of child
- Eye contact
- Sustained
- Interaction
- Quality of Interaction
- age-appropriate
- Repetitive behaviors (RRBs)
- If yes- Details
- Patterned behavior or activities
- If yes- Details
- Others
- Details:
- Impression
- Hopes from the consultation