Module G

Follow-up & Outcome

Referral · treatment · milestones · outcome status

Follow-up: 892

DL-NBS-042-001

Referral Made To

Referral Date

Treatment Initiated *

Please select treatment status.

Treatment Type

Protocol-defined schedule: Day 28, 3 months, 6 months, 1 year Auto-reminders enabled

Day 28 Visit

3 Month Visit

6 Month Visit

1 Year Visit

Weight (kg)

Height (cm)

Head Circumference (cm)

Developmental Milestones Checklist

Head control (by 3 months)

Rolling over (by 6 months)

Sitting without support (by 8 months)

Crawling (by 10 months)

Walking independently (by 18 months)

Outcome Status *

Please select outcome status.

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