Details

PatientInfo


Is child enrolled in school
Yes
Intervention plan
IDP 1/week + IEP 1/week + PMT 1/15 days
Consanguinity
Neck holding
Food preferences
Mixed
HR
Neuropsychiatric condition
Place of Birth
Hospitalization
Tactile
PatientId
a5b1f07d-4e10-4bd2-a11d-18b2ccc7ab76
FollowUpId
b6563590-0092-4812-b7ec-a4442c020cbc
Child's Name
Aadhavan Gupta
Age
6 Year 11 Month 3 Days
Gender
Male
DOB
2019-04-25
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
7389012885
Referred By
Informant
Chief concerns
Duration of symptoms
Concerns noticed by school (if any)
Strengths of child
Eye contact
Suboptimal
Interaction
Quality of Interaction
limited
Repetitive behaviors (RRBs)
If yes- Details
Patterned behavior or activities
If yes- Details
Others
Details:
Impression
Hopes from the consultation

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