PatientInfo

Is child enrolled in school

No

Intervention plan

After evaluation

Consanguinity

No

Neck holding

Achieved

Food preferences

Mixed

HR

Neuropsychiatric condition

No

Place of Birth

Hospitalization

No

Tactile

PatientId

84305f3d-c740-4269-a6e7-de04ac7ca186

FollowUpId

188afbb5-c1b9-420e-8b9b-b8ab292bd135

Child's Name

Pravin Sharma

Age

14 Year 10 Month 28 Days

Gender

Male

DOB

2011-08-30

Mother’s age (years)

40 years

Mother’s education

Mother’s occupation

Homemaker

Father’s age (years)

40 years

Father’s education

Father’s occupation

Transport

Type of family

Joint

Number of family members

6

Number of siblings

1

Details of siblings (Age and sex)

12 years

Address

Bhind

Contact

7000313227

Referred By

Doctor

Informant

Parents

Chief concerns

Delayed milestones

Duration of symptoms

Since infancy

Concerns noticed by school (if any)

Strengths of child

Eye contact

Suboptimal

Interaction

Quality of Interaction

Repetitive behaviors (RRBs)

If yes- Details

Patterned behavior or activities

If yes- Details

Others

Details:

Impression

Mixed CP. GDD

Hopes from the consultation