Details
PatientInfo
- Is child enrolled in school
- No
- Intervention plan
- IDP 2/week + PMT 1/week
- Consanguinity
- Neck holding
- Food preferences
- Mixed
- HR
- Neuropsychiatric condition
- Place of Birth
- Hospitalization
- Tactile
- PatientId
- f53aeea3-e684-4dc0-a36d-bdb80d2d79ee
- FollowUpId
- 43d3284c-8808-4f69-b3c0-6153af91c6c5
- Child's Name
- Mishita sen
- Age
- 3 Year 11 Month 28 Days
- Gender
- Female
- DOB
- 2022-04-13
- 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
- 8959899819
- Referred By
- Informant
- Chief concerns
- Duration of symptoms
- Concerns noticed by school (if any)
- Strengths of child
- Eye contact
- Fleeting
- Interaction
- Quality of Interaction
- limited
- Repetitive behaviors (RRBs)
- If yes- Details
- Patterned behavior or activities
- If yes- Details
- Others
- Details:
- Impression
- ASD
- Hopes from the consultation