PatientInfo

Is child enrolled in school

No

Intervention plan

IDP2/W PMT 1/W

Consanguinity

No

Neck holding

Achieved

Food preferences

Picky eating

HR

Neuropsychiatric condition

No

Place of Birth

Institutional

Hospitalization

Yes

Tactile

PatientId

402fee10-8bfb-4f6e-8921-db518d5f40f4

FollowUpId

f1cdaea1-87b7-4e23-936a-0315e8530cab

Child's Name

Priti

Age

1 Year 11 Month 25 Days

Gender

Female

DOB

2024-02-08

Mother’s age (years)

29

Mother’s education

10th

Mother’s occupation

homemaker

Father’s age (years)

30

Father’s education

10th

Father’s occupation

Pvt job

Type of family

Nuclear

Number of family members

3

Number of siblings

0

Details of siblings (Age and sex)

Address

KKK

Contact

666666

Referred By

Healthcare worker

Informant

Mother

Chief concerns

SPeech delay

Duration of symptoms

Noted since 3 months

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

sOCIAL COMMUNICATION DELAY

Hopes from the consultation