Details

PatientInfo


Is child enrolled in school
Intervention plan
IDP (+PT) 3/week + PMT 1/15 days
Consanguinity
Neck holding
Food preferences
Picky eater
HR
Neuropsychiatric condition
Place of Birth
Hospitalization
Tactile
PatientId
b0051226-68ee-434c-b9b1-99ac32ec49ce
FollowUpId
9a898943-ca8f-4583-b858-a30771d37559
Child's Name
Anaija Shah
Age
3 years 11 months
Gender
Female
DOB
2022-04-10
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
8871177040
Referred By
Informant
Chief concerns
Duration of symptoms
Concerns noticed by school (if any)
Strengths of child
Eye contact
Suboptimal
Interaction
Quality of Interaction
Repetitive behaviors (RRBs)
If yes- Details
Patterned behavior or activities
If yes- Details
Others
Details:
Impression
Improvement in motor milestones, stubborness reduced, understanding improved
Hopes from the consultation

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