PatientInfo

Is child enrolled in school

No

Intervention plan

Consanguinity

No

Neck holding

Achieved

Food preferences

Mixed

HR

Neuropsychiatric condition

No

Place of Birth

Institutional

Hospitalization

No

Tactile

PatientId

96a74a6d-635f-4112-81bd-47abd7e8c565

FollowUpId

e0aa1409-e064-48a3-8213-ed690c783c88

Child's Name

Kriyansh Kushwah

Age

3 Year 6 Month 18 Days

Gender

Male

DOB

2023-01-06

Mother’s age (years)

25 years

Mother’s education

Mother’s occupation

homemaker

Father’s age (years)

30 years

Father’s education

Father’s occupation

Police

Type of family

Joint

Number of family members

3

Number of siblings

0

Details of siblings (Age and sex)

Address

Gwalior

Contact

7587644302

Referred By

Doctor

Informant

Parents

Chief concerns

Speech delay

Duration of symptoms

Concerns noticed by school (if any)

Strengths of child

Eye contact

Sustained

Interaction

Interacts with known people.

Quality of Interaction

avoids

Repetitive behaviors (RRBs)

If yes- Details

running to and fro

Patterned behavior or activities

If yes- Details

Others

Details:

More interested in objects

Impression

?Expressive Language Delay

Hopes from the consultation