Details
PatientInfo
- Is child enrolled in school
- No
- Intervention plan
- IDP 3/week (include language and Preacad) + PMT 1/15 days
- Consanguinity
- Neck holding
- Food preferences
- Mixed
- HR
- Neuropsychiatric condition
- Place of Birth
- Hospitalization
- Tactile
- PatientId
- ed94098c-f242-4086-9096-a450421bb936
- FollowUpId
- 00000000-0000-0000-0000-000000000000
- Child's Name
- Shiva Tomar
- Age
- 4 Year 9 Month 18 Days
- Gender
- Male
- DOB
- 2021-07-17
- 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
- 7489177440
- Referred By
- Informant
- Chief concerns
- Duration of symptoms
- Concerns noticed by school (if any)
- Strengths of child
- Eye contact
- Suboptimal
- Interaction
- Quality of Interaction
- avoids
- Repetitive behaviors (RRBs)
- If yes- Details
- Patterned behavior or activities
- If yes- Details
- Others
- Details:
- Impression
- ASD
- Hopes from the consultation