PatientInfo

Is child enrolled in school

Intervention plan

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

Consanguinity

Yes

Neck holding

Achieved

Food preferences

Complimentary feed started at 6 months

HR

Neuropsychiatric condition

No

Place of Birth

Institutional

Hospitalization

No

Tactile

PatientId

b47f9781-99bc-4f49-878b-a674da633b0d

FollowUpId

00000000-0000-0000-0000-000000000000

Child's Name

Hazlal Khan

Age

11 Month 10 Days

Gender

Male

DOB

2025-04-07

Mother’s age (years)

23 years

Mother’s education

Mother’s occupation

Homemaker

Father’s age (years)

25 years

Father’s education

Father’s occupation

Private job

Type of family

Joint

Number of family members

13

Number of siblings

1

Details of siblings (Age and sex)

Address

Tigra Road

Contact

7804033376

Referred By

Doctor

Informant

Parents

Chief concerns

Delayed milestones

Duration of symptoms

Concerns noticed by school (if any)

Strengths of child

Eye contact

Sustained

Interaction

Quality of Interaction

Repetitive behaviors (RRBs)

If yes- Details

Patterned behavior or activities

If yes- Details

Others

Details:

Impression

GDD with SAM ? HIE ? Genetic

Hopes from the consultation