PatientInfo

Is child enrolled in school

No

Intervention plan

IDP (+PT ) 3/eeek +PMT 1/week

Consanguinity

No

Neck holding

Achieved

Food preferences

Eats mashed food

HR

Neuropsychiatric condition

No

Place of Birth

Institutional

Hospitalization

Yes

Tactile

PatientId

5f8381f5-fdc7-4851-bfd1-abba24b2296f

FollowUpId

00000000-0000-0000-0000-000000000000

Child's Name

Aaradhya Jagtap

Age

12 Year 4 Month 6 Days

Gender

Female

DOB

2013-11-06

Mother’s age (years)

33 years

Mother’s education

Mother’s occupation

Teacher

Father’s age (years)

39 years

Father’s education

Father’s occupation

Business

Type of family

Joint

Number of family members

4

Number of siblings

1

Details of siblings (Age and sex)

1- 3 year old female

Address

Kampoo

Contact

8827500618

Referred By

Doctor

Informant

Mother, maternal uncles

Chief concerns

Irritability, Crying

Duration of symptoms

Concerns noticed by school (if any)

Strengths of child

Eye contact

Interaction

Quality of Interaction

Repetitive behaviors (RRBs)

If yes- Details

Patterned behavior or activities

If yes- Details

Others

Details:

Screams

Impression

Spastic Cerebral Palsy with epilepsy (HIE sequelae)

Hopes from the consultation