Details

PatientInfo


Is child enrolled in school
No
Intervention plan
IDP 5/week
Consanguinity
Neck holding
Food preferences
Complimentary feeding. Bottlefeeding
HR
Neuropsychiatric condition
Place of Birth
Hospitalization
Tactile
PatientId
99b00ab5-cdf3-462d-b13d-ddee592471e3
FollowUpId
00000000-0000-0000-0000-000000000000
Child's Name
Gouravi Yadav
Age
10 Month 8 Days
Gender
Female
DOB
2025-07-03
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
9753938907
Referred By
Informant
Chief 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:
Impression
Hopes from the consultation

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