Details
PatientInfo
- Is child enrolled in school
- Intervention plan
- Consanguinity
- Neck holding
- Food preferences
- HR
- Neuropsychiatric condition
- Place of Birth
- Hospitalization
- Tactile
- PatientId
- 36a65a20-219e-4015-8c99-a7e6a1627255
- FollowUpId
- b6ffa4d9-eb7d-473e-aafb-c0e14236203f
- Child's Name
- test
- Age
- 0 Days
- Gender
- Male
- DOB
- 2026-05-15
- Mother’s age (years)
- yus
- Mother’s education
- Mother’s occupation
- ghik
- Father’s age (years)
- hhh
- Father’s education
- Father’s occupation
- Type of family
- Joint
- Number of family members
- 2
- Number of siblings
- 4
- Details of siblings (Age and sex)
- Address
- nnnn
- Contact
- 2535698562
- Referred By
- Informant
- Chief concerns
- Duration of symptoms
- Concerns noticed by school (if any)
- Strengths of child
- Eye contact
- Sustained
- Interaction
- Quality of Interaction
- Repetitive behaviors (RRBs)
- If yes- Details
- Patterned behavior or activities
- If yes- Details
- Others
- Details:
- Impression
- Hopes from the consultation