Details

PatientInfo


Is child enrolled in school
Intervention plan
IDP+ PT 5 days/week + PMT 1/month
Consanguinity
Neck holding
Achieved
Food preferences
Mixed
HR
Neuropsychiatric condition
Place of Birth
Hospitalization
Tactile
PatientId
24757e6d-ea38-420b-9e74-f7f4c2635d3f
FollowUpId
0e6761de-52be-4d92-ba76-115c64a97a52
Child's Name
Kartikey Rawat
Age
2 Year 5 Month 22 Days
Gender
Male
DOB
2024-01-24
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
8516803913
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
Started bearing weight, standing without support for 2-3 seconds
Hopes from the consultation

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