Details

PatientInfo


Is child enrolled in school
No
Intervention plan
Parents counselled
Consanguinity
No
Neck holding
Achieved
Food preferences
HR
Neuropsychiatric condition
No
Place of Birth
Institutional
Hospitalization
Yes
Tactile
PatientId
36d60c81-c191-4055-80c9-3d0f7b9034f3
FollowUpId
00000000-0000-0000-0000-000000000000
Child's Name
Jiyanshi Sahu
Age
3 Year 4 Month 18 Days
Gender
Female
DOB
2022-10-31
Mother’s age (years)
33 years
Mother’s education
Mother’s occupation
Homemaker
Father’s age (years)
36 years
Father’s education
Father’s occupation
Business
Type of family
Joint
Number of family members
10
Number of siblings
2
Details of siblings (Age and sex)
1-10 yr, 2- 5 months; females
Address
Mahova
Contact
6386490072
Referred By
Doctor
Informant
Parents
Chief concerns
Behavioral concerns
Duration of symptoms
Concerns noticed by school (if any)
Strengths of child
Eye contact
Sustained
Interaction
Quality of Interaction
Repetitive behaviors (RRBs)
If yes- Details
Patterned behavior or activities
If yes- Details
Others
Details:
Throws objects when angry
Impression
Epilepsy
Hopes from the consultation
Improvement in behavioral concerns (stubborness, temper tantrums)

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