Details

PatientInfo


Is child enrolled in school
Intervention plan
Consanguinity
Neck holding
Food preferences
HR
Neuropsychiatric condition
Place of Birth
Hospitalization
Tactile
PatientId
b0051226-68ee-434c-b9b1-99ac32ec49ce
FollowUpId
c18bfb3f-1517-4e2d-9854-2cdb6ff5d20a
Child's Name
Anaija Shah
Age
Gender
Female
DOB
2022-04-10
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
Details of siblings (Age and sex)
Address
Contact
8871177040
Referred By
Informant
Chief concerns
Duration of symptoms
Concerns noticed by school (if any)
Strengths of child
Eye contact
Interaction
Quality of Interaction
Repetitive behaviors (RRBs)
If yes- Details
Patterned behavior or activities
If yes- Details
Others
Details:
Impression
Hopes from the consultation

Edit | Back to List

Setting Panel
Select Layout
Sidebar Color
Color Theme