Details
PatientInfo
- Is child enrolled in school
- Yes
- Intervention plan
- Consanguinity
- No
- Neck holding
- Achieved
- Food preferences
- Mixed
- HR
- Neuropsychiatric condition
- No
- Place of Birth
- Institutional
- Hospitalization
- No
- Tactile
- PatientId
- 9277fa18-6a66-44b5-8c38-930b40b8f51c
- FollowUpId
- a3486b2b-29d5-4ec4-b98f-70c30af70bf9
- Child's Name
- Jay
- Age
- 3 Year 3 Month 14 Days
- Gender
- Male
- DOB
- 2023-02-25
- 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
- 9589455898
- Referred By
- Doctor
- Informant
- Parents
- Chief concerns
- Object oriented
- Duration of symptoms
- Concerns noticed by school (if any)
- Strengths of child
- Eye contact
- Suboptimal
- Interaction
- Plays with kids
- Quality of Interaction
- age-appropriate
- Repetitive behaviors (RRBs)
- If yes- Details
- Patterned behavior or activities
- If yes- Details
- Others
- Details:
- wears clothes of his choice, spins wheels of car sometimes, destructive play
- Impression
- Hopes from the consultation