Details

PatientInfo


Is child enrolled in school
No
Intervention plan
Mother counselled. Home strategies adviced. Stop bottlefeeding. Diet adviced.
Consanguinity
No
Neck holding
Achieved
Food preferences
Mixed. Bottlefeeding
HR
Neuropsychiatric condition
No
Place of Birth
Institutional
Hospitalization
No
Tactile
PatientId
40914d8b-e68e-4f39-87a2-1bce042ef53c
FollowUpId
56b665d0-c601-489f-93be-56bcf0608933
Child's Name
Shivansh Rajput
Age
2 Year 10 Month 1 Days
Gender
Male
DOB
2023-09-27
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
6005913532
Referred By
Informant
Chief concerns
Duration of symptoms
Concerns noticed by school (if any)
Strengths of child
Eye contact
Sustained
Interaction
Quality of Interaction
age-appropriate
Repetitive behaviors (RRBs)
If yes- Details
Patterned behavior or activities
If yes- Details
Others
Details:
Impression
Growth Faultering (severe stunting, severe underweight). Poor catchup
Hopes from the consultation

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