Details
PatientInfo
- Is child enrolled in school
- Yes
- Intervention plan
- IDP 2/week + PMT 1/15 days
- Consanguinity
- Neck holding
- Food preferences
- HR
- Neuropsychiatric condition
- Place of Birth
- Hospitalization
- Tactile
- PatientId
- 3cf73fb5-fc61-46bf-bce9-9e70038ef86c
- FollowUpId
- 847337c3-5de8-454a-a92c-c596fa6e29ce
- Child's Name
- Swastik Sharma
- Age
- 5 Year 10 Month 19 Days
- Gender
- Male
- DOB
- 2020-06-12
- 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
- 9575111122
- 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