Details
PatientInfo
- Is child enrolled in school
- Yes
- Intervention plan
- Home startegies adviced. Plan to be given after evaluation.
- Consanguinity
- No
- Neck holding
- Achieved
- Food preferences
- Mixed
- HR
- Neuropsychiatric condition
- No
- Place of Birth
- Institutional
- Hospitalization
- Yes
- Tactile
- PatientId
- d710531b-01bf-459b-8cba-983a8c674014
- FollowUpId
- 00000000-0000-0000-0000-000000000000
- Child's Name
- Kuldeep Sharma
- Age
- 12 Year 4 Month 21 Days
- Gender
- Male
- DOB
- 2013-12-10
- 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
- 3
- Details of siblings (Age and sex)
- 1nd- 17y, 2nd- 15 y. 3rd-14y (females)
- Address
- Joura
- Contact
- 7999884752
- Referred By
- Doctor
- Informant
- Parents
- Chief concerns
- Stammering
- Duration of symptoms
- Concerns noticed by school (if any)
- Strengths of child
- Eye contact
- Sustained
- Interaction
- Quality of Interaction
- age-appropriate
- Repetitive behaviors (RRBs)
- If yes- Details
- Patterned behavior or activities
- If yes- Details
- Others
- Details:
- Impression
- Stuttering
- Hopes from the consultation