PatientInfo

Is child enrolled in school

No

Intervention plan

Consanguinity

Yes

Neck holding

Achieved

Food preferences

HR

Neuropsychiatric condition

No

Place of Birth

Institutional

Hospitalization

No

Tactile

PatientId

af897805-79a7-4d07-af05-b59c7396077c

FollowUpId

00000000-0000-0000-0000-000000000000

Child's Name

Khemchand Sahu

Age

6 Year 4 Month 16 Days

Gender

Male

DOB

2019-11-14

Mother’s age (years)

48 years

Mother’s education

Mother’s occupation

Homemaker

Father’s age (years)

52 years

Father’s education

Father’s occupation

Labor

Type of family

Nuclear

Number of family members

3

Number of siblings

0

Details of siblings (Age and sex)

Address

Chhatarpur

Contact

8224052240

Referred By

Doctor

Informant

Parents

Chief concerns

Poor understanding, behavioral issues

Duration of symptoms

Since early infancy

Concerns noticed by school (if any)

Strengths of child

Eye contact

Sustained

Interaction

Quality of Interaction

age-appropriate

Repetitive behaviors (RRBs)

If yes- Details

Patterned behavior or activities

If yes- Details

Others

Details:

Spitting

Impression

ID. Microcephaly

Hopes from the consultation