PatientInfo

Is child enrolled in school

Intervention plan

Stimulation therapy for home. Complimentary feeding.

Consanguinity

No

Neck holding

Not achieved

Food preferences

On breastfeeding

HR

Neuropsychiatric condition

No

Place of Birth

Institutional

Hospitalization

Yes

Tactile

PatientId

cba29086-3200-420a-9489-06e02c7e5f36

FollowUpId

00000000-0000-0000-0000-000000000000

Child's Name

Darshita Jain

Age

6 Month 19 Days

Gender

Female

DOB

2025-11-16

Mother’s age (years)

25 years

Mother’s education

Mother’s occupation

Homemaker

Father’s age (years)

29 years

Father’s education

Father’s occupation

Shop

Type of family

Nuclear

Number of family members

13

Number of siblings

1

Details of siblings (Age and sex)

5 year old female

Address

Chandranagar, Chhatarpur

Contact

7999903125

Referred By

Healthcare worker

Informant

Parents

Chief concerns

Developmental delay,

Duration of symptoms

Concerns noticed by school (if any)

Strengths of child

seizures

Eye contact

Interaction

Quality of Interaction

Repetitive behaviors (RRBs)

If yes- Details

Patterned behavior or activities

If yes- Details

Others

Details:

Impression

GDD. high risk of Cerebral Palsy

Hopes from the consultation