Details
PatientInfo
- Is child enrolled in school
- Yes
- Intervention plan
- IDP 1/week + PMT 1/week
- Consanguinity
- Yes
- Neck holding
- Achieved
- Food preferences
- HR
- Neuropsychiatric condition
- No
- Place of Birth
- Institutional
- Hospitalization
- No
- Tactile
- PatientId
- 70f03aac-6a9c-44db-85f0-2887e040667d
- FollowUpId
- 00000000-0000-0000-0000-000000000000
- Child's Name
- Zoiv khan
- Age
- 5 Year 10 Month 26 Days
- Gender
- Male
- DOB
- 2020-03-18
- Mother’s age (years)
- 28 years
- Mother’s education
- Mother’s occupation
- Homemaker
- Father’s age (years)
- 32 years
- Father’s education
- Father’s occupation
- Pvt job
- Type of family
- Joint
- Number of family members
- 12
- Number of siblings
- 1
- Details of siblings (Age and sex)
- 1- 3 year old male
- Address
- Gol pahadiya
- Contact
- 8718869760
- Referred By
- Doctor
- Informant
- Parents
- Chief concerns
- Behavioral concerns- inattention, impulsivity
- Duration of symptoms
- Since infancy- sleep disturbances and behavioral abnormalities
- Concerns noticed by school (if any)
- Strengths of child
- Eye contact
- Suboptimal
- Interaction
- Better with known people, not with others
- Quality of Interaction
- limited
- Repetitive behaviors (RRBs)
- If yes- Details
- Patterned behavior or activities
- If yes- Details
- Others
- Details:
- Impression
- Poor self regulation
- Hopes from the consultation