Details

PatientInfo


Is child enrolled in school
No
Intervention plan
Evaluations: DQ (DST, VSMS), Language and speech evaluation
Consanguinity
No
Neck holding
Achieved
Food preferences
HR
Neuropsychiatric condition
No
Place of Birth
Institutional
Hospitalization
No
Tactile
PatientId
d9fef8ab-711f-493c-957a-5a4b45df2008
FollowUpId
00000000-0000-0000-0000-000000000000
Child's Name
Gourav Tiwari
Age
3 Year 9 Month 4 Days
Gender
Male
DOB
2022-06-17
Mother’s age (years)
24 years
Mother’s education
Mother’s occupation
Homemaker
Father’s age (years)
28 years
Father’s education
Father’s occupation
Advocate
Type of family
Joint
Number of family members
8
Number of siblings
0
Details of siblings (Age and sex)
Address
Chhatarpur
Contact
7024528951
Referred By
Doctor
Informant
Dadi, chacha
Chief concerns
Duration of symptoms
Concerns noticed by school (if any)
Strengths of child
Eye contact
Suboptimal
Interaction
Wants to play with children
Quality of Interaction
Repetitive behaviors (RRBs)
If yes- Details
Hand flapping, clapping, looks from corner of eyes
Patterned behavior or activities
If yes- Details
Others
Details:
Impression
GDD (HIE sequelae ?Genetic)
Hopes from the consultation

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