Details

PatientInfo


Is child enrolled in school
No
Intervention plan
Stop bottlefeeding. (IDP +PT) 1/week + PMT 1/month
Consanguinity
No
Neck holding
Achieved
Food preferences
Mixed diet
HR
Neuropsychiatric condition
No
Place of Birth
Institutional
Hospitalization
No
Tactile
PatientId
cec4100d-8bac-47b5-b293-a7be570a0723
FollowUpId
00000000-0000-0000-0000-000000000000
Child's Name
Shivansh Sharma
Age
2 Year 3 Month 2 Days
Gender
Male
DOB
2023-12-09
Mother’s age (years)
32 years
Mother’s education
Mother’s occupation
Housewife
Father’s age (years)
31 years
Father’s education
Father’s occupation
Private job
Type of family
Nuclear
Number of family members
5
Number of siblings
2
Details of siblings (Age and sex)
1- 10year old female, 2- 7year old female
Address
DD Nagar
Contact
8770229171
Referred By
Doctor
Informant
Parents
Chief concerns
Delayed milestones
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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