PatientInfo

Is child enrolled in school

No

Intervention plan

Consanguinity

Neck holding

Achieved

Food preferences

Mixed diet

HR

Neuropsychiatric condition

No

Place of Birth

Institutional

Hospitalization

No

Tactile

PatientId

de0e1ffe-f8a7-4603-b62f-bb22a27a64b3

FollowUpId

de09fa92-6d35-4ce6-9313-24792240b20e

Child's Name

Lovyansh Pal

Age

4 Year 6 Month 24 Days

Gender

Male

DOB

2021-10-18

Mother’s age (years)

24 years

Mother’s education

Mother’s occupation

Homamaker

Father’s age (years)

34 years

Father’s education

Father’s occupation

Driver

Type of family

Joint

Number of family members

5

Number of siblings

1

Details of siblings (Age and sex)

8 mon females

Address

Taraganj, Gwl

Contact

9977486534

Referred By

Doctor

Informant

Parents

Chief concerns

Hyperactivity

Duration of symptoms

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

GDD

Hopes from the consultation