Details

PatientInfo


Is child enrolled in school
Intervention plan
Consanguinity
Neck holding
Food preferences
HR
Neuropsychiatric condition
Place of Birth
Hospitalization
Tactile
PatientId
3c3354a8-8d05-48a8-a9ec-a22d9b2aaa43
FollowUpId
267002cf-a9b2-41ca-a40c-ab2ee638ebc7
Child's Name
Radha
Age
2 Year 2 Month 29 Days
Gender
Female
DOB
2024-02-15
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
9826490526
Referred By
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
? Expressive language delay. M char R score- 2
Hopes from the consultation

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