Details
PatientInfo
- Is child enrolled in school
- Intervention plan
- Consanguinity
- Neck holding
- Food preferences
- HR
- Neuropsychiatric condition
- Place of Birth
- Hospitalization
- Tactile
- PatientId
- 2130618e-def7-442f-93ff-8cc4eba39a44
- FollowUpId
- 78825c80-8094-440d-bd9b-50598d047bde
- Child's Name
- Shivansh Prajapati
- Age
- 2 Year 6 Month 13 Days
- Gender
- Male
- DOB
- 2023-08-31
- 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
- 8085388346
- Referred By
- Informant
- Chief concerns
- Duration of symptoms
- Concerns noticed by school (if any)
- Strengths of child
- Eye contact
- Fleeting
- Interaction
- Improved with parents
- Quality of Interaction
- limited
- Repetitive behaviors (RRBs)
- If yes- Details
- Patterned behavior or activities
- If yes- Details
- Others
- Details:
- Impression
- Hopes from the consultation