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
b424cbc6-b2e5-40d1-8038-2e4093051bae
FollowUpId
9aef6b83-cf74-4c36-ab7b-1088db7787a8
Child's Name
Vivan Baghel
Age
2 Year 9 Month 8 Days
Gender
Male
DOB
2023-09-21
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
9617090649
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
Hopes from the consultation

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