Details
PatientInfo
- Is child enrolled in school
- Intervention plan
- Home based program. Physiotherapy at nearby place. Stop bottlefeeding. Parents counselled
- Consanguinity
- Yes
- Neck holding
- Achieved
- Food preferences
- HR
- Neuropsychiatric condition
- No
- Place of Birth
- Institutional
- Hospitalization
- No
- Tactile
- PatientId
- 89e5ee90-69e0-4e86-a940-b547a57020b7
- FollowUpId
- 00000000-0000-0000-0000-000000000000
- Child's Name
- Inayat Khan
- Age
- 3 Year 6 Month 0 Days
- Gender
- Female
- DOB
- 2022-08-18
- Mother’s age (years)
- 32 years
- Mother’s education
- Mother’s occupation
- Housewife
- Father’s age (years)
- 35 years
- Father’s education
- Father’s occupation
- Business
- Type of family
- Joint
- Number of family members
- 8
- Number of siblings
- 1
- Details of siblings (Age and sex)
- 1- 5.5 year old female
- Address
- Jhansi (Gudsaray)
- Contact
- 9918107085
- Referred By
- Doctor
- Informant
- Parents
- Chief concerns
- Developmental Delay
- 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
- Hopes from the consultation