Details
PatientInfo
- Is child enrolled in school
- Intervention plan
- Consanguinity
- Neck holding
- Food preferences
- HR
- Neuropsychiatric condition
- Place of Birth
- Hospitalization
- Tactile
- Hyposensitive
- PatientId
- 0c907bea-2586-47c3-bae2-d97051625f0a
- FollowUpId
- 00000000-0000-0000-0000-000000000000
- Child's Name
- Check
- Age
- 9 Days
- Gender
- Male
- DOB
- 2026-03-01
- Mother’s age (years)
- 25
- Mother’s education
- Mother’s occupation
- Homemaker
- Father’s age (years)
- 27
- Father’s education
- Father’s occupation
- service
- Type of family
- Nuclear
- Number of family members
- 4
- Number of siblings
- 1
- Details of siblings (Age and sex)
- Address
- Contact
- 123
- Referred By
- Doctor
- 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