PatientInfo

Is child enrolled in school

No

Intervention plan

Parents counselled.

Consanguinity

No

Neck holding

Achieved

Food preferences

HR

Neuropsychiatric condition

No

Place of Birth

Institutional

Hospitalization

No

Tactile

PatientId

c596c924-ed99-4582-8691-109f51a2a3ca

FollowUpId

00000000-0000-0000-0000-000000000000

Child's Name

Divyansh Sahu

Age

2 Year 8 Month 18 Days

Gender

Male

DOB

2023-06-08

Mother’s age (years)

24 years

Mother’s education

Mother’s occupation

Homemaker

Father’s age (years)

28 years

Father’s education

Father’s occupation

Self employed

Type of family

Joint

Number of family members

25

Number of siblings

0

Details of siblings (Age and sex)

Address

Contact

9589529106

Referred By

Doctor

Informant

Parents

Chief concerns

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:

Impression

Hopes from the consultation