Details

PatientInfo


Is child enrolled in school
Intervention plan
IDP (+PT) 6/week
Consanguinity
Neck holding
Achieved
Food preferences
Mixed diet
HR
Neuropsychiatric condition
Place of Birth
Hospitalization
Tactile
PatientId
23110fe7-f402-4890-958b-7f94a968daa2
FollowUpId
d6b6fa5b-dedd-4b12-b6e0-91d4d6019a6d
Child's Name
Shivam Mittal
Age
8 Month 6 Days
Gender
Male
DOB
2025-06-13
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
7828262942
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

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