PatientInfo

Is child enrolled in school

No

Intervention plan

Consanguinity

No

Neck holding

Achieved

Food preferences

Mixed diet. Choking episodes

HR

Neuropsychiatric condition

No

Place of Birth

Institutional

Hospitalization

Yes

Tactile

PatientId

ce4f70d9-8c68-439b-9adb-b7141048698a

FollowUpId

00000000-0000-0000-0000-000000000000

Child's Name

Anuj Sharma

Age

10 Year 9 Month 17 Days

Gender

Male

DOB

2015-08-25

Mother’s age (years)

Mother’s education

Mother’s occupation

Father’s age (years)

Father’s education

Father’s occupation

Type of family

Joint

Number of family members

Number of siblings

3

Details of siblings (Age and sex)

18yr f, 15 y m, 13y f

Address

Dholpur

Contact

9588937078

Referred By

Doctor

Informant

Parents

Chief concerns

Neuoregression

Duration of symptoms

Concerns noticed by school (if any)

Strengths of child

Eye contact

Sustained

Interaction

Quality of Interaction

Repetitive behaviors (RRBs)

If yes- Details

Patterned behavior or activities

If yes- Details

Others

Details:

Impression

Post meningitis sequelae

Hopes from the consultation