Details
PatientInfo
- Is child enrolled in school
- No
- Intervention plan
- LDP 2/week + PMT 1/month
- Consanguinity
- Neck holding
- Food preferences
- Mixed
- HR
- Neuropsychiatric condition
- Place of Birth
- Hospitalization
- Tactile
- PatientId
- 11ccac86-34c3-47ee-b47c-9e3d7df83c17
- FollowUpId
- f9d313f3-8e17-4c2c-8387-8c4321c5df28
- Child's Name
- Madhav Yadav
- Age
- 3 Year 4 Month 9 Days
- Gender
- Male
- DOB
- 2022-12-25
- 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
- 7898897842
- Referred By
- Informant
- Chief concerns
- Duration of symptoms
- Concerns noticed by school (if any)
- Strengths of child
- Eye contact
- Sustained
- Interaction
- Quality of Interaction
- age-appropriate
- Repetitive behaviors (RRBs)
- If yes- Details
- Patterned behavior or activities
- If yes- Details
- Others
- Details:
- Impression
- Hopes from the consultation