Details

PatientInfo


Is child enrolled in school
Intervention plan
UN
Consanguinity
Neck holding
Achieved
Food preferences
bhk
HR
hbhkbhk
Neuropsychiatric condition
Place of Birth
Hospitalization
Tactile
Hyposensitive
PatientId
08b561c7-0b33-4e38-94fe-6a320143a3ff
FollowUpId
b21f5475-a35a-4a51-b1f5-ba668d8d5965
Child's Name
Yuvraj
Age
1 Year 11 Month 26 Days
Gender
Male
DOB
2024-02-12
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
123456
Referred By
Informant
Chief concerns
Duration of symptoms
Concerns noticed by school (if any)
Strengths of child
Eye contact
Interaction
80
Quality of Interaction
Repetitive behaviors (RRBs)
If yes- Details
808
Patterned behavior or activities
If yes- Details
8
Others
Details:
lnnlj
Impression
N
Hopes from the consultation

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