Details
PatientInfo
- Is child enrolled in school
- Yes
- Intervention plan
- IDP 2/week, PMT 1/week
- Consanguinity
- No
- Neck holding
- Achieved
- Food preferences
- HR
- Neuropsychiatric condition
- No
- Place of Birth
- Institutional
- Hospitalization
- Yes
- Tactile
- PatientId
- 0d46994d-13d4-42b0-9d49-d3fdd0ca7f34
- FollowUpId
- 00000000-0000-0000-0000-000000000000
- Child's Name
- sonia
- Age
- 4 Year 5 Month 4 Days
- Gender
- Female
- DOB
- 2021-10-10
- Mother’s age (years)
- 26 years
- Mother’s education
- Mother’s occupation
- Homemaker
- Father’s age (years)
- 31 years
- Father’s education
- Father’s occupation
- Farmer
- Type of family
- Joint
- Number of family members
- 7
- Number of siblings
- 1
- Details of siblings (Age and sex)
- 1-2.5 years
- Address
- Contact
- 8959683616
- Referred By
- Doctor
- Informant
- Chief concerns
- Poor understanding, abnormal movements
- Duration of symptoms
- Symptoms noticed since 2.5 years. During infancy excessive crying
- Concerns noticed by school (if any)
- Strengths of child
- Eye contact
- Suboptimal
- Interaction
- Poor
- Quality of Interaction
- limited
- Repetitive behaviors (RRBs)
- If yes- Details
- Patterned behavior or activities
- If yes- Details
- Others
- Details:
- Rigidity
- Impression
- Hopes from the consultation