Details

PatientInfo


Is child enrolled in school
No
Intervention plan
Consanguinity
Neck holding
Food preferences
Mixed
HR
Neuropsychiatric condition
Place of Birth
Hospitalization
Tactile
PatientId
53fc7eef-ebd2-49cf-b906-68f16c2c5d99
FollowUpId
00000000-0000-0000-0000-000000000000
Child's Name
Hridayansh Sehgal
Age
4 Year 9 Month 10 Days
Gender
Male
DOB
2021-07-11
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
7047412523
Referred By
Informant
Chief concerns
Duration of symptoms
Concerns noticed by school (if any)
Strengths of child
Eye contact
Suboptimal
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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