Details
PatientInfo
- Is child enrolled in school
- No
- Intervention plan
- IDP 2/week (Home based)
- Consanguinity
- Neck holding
- Food preferences
- Mixed
- HR
- Neuropsychiatric condition
- Place of Birth
- Hospitalization
- Tactile
- PatientId
- b0051226-68ee-434c-b9b1-99ac32ec49ce
- FollowUpId
- 00000000-0000-0000-0000-000000000000
- Child's Name
- Anaija Shah
- Age
- 4 Year 1 Month 2 Days
- 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
- Sustained
- Interaction
- Quality of Interaction
- Repetitive behaviors (RRBs)
- If yes- Details
- Patterned behavior or activities
- If yes- Details
- Others
- Details:
- Impression
- GDD
- Hopes from the consultation