Details
PatientInfo
- Is child enrolled in school
- Intervention plan
- Consanguinity
- Neck holding
- Food preferences
- HR
- Neuropsychiatric condition
- Place of Birth
- Hospitalization
- Tactile
- PatientId
- cfaee904-3760-4816-ac0b-f0b60d576d01
- FollowUpId
- 58233e89-aba5-4518-ae09-d21e29602492
- Child's Name
- Ankita Sharma
- Age
- Gender
- Female
- DOB
- 2011-07-04
- 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
- 9827095546
- 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