Details

PatientInfo


Is child enrolled in school
No
Intervention plan
After assessment. Physical sessions + Home strategies for early intervention
Consanguinity
No
Neck holding
Not achieved
Food preferences
Predominantly milk
HR
Neuropsychiatric condition
No
Place of Birth
Institutional
Hospitalization
No
Tactile
PatientId
768c0fa4-9157-4d86-9d1c-f540964f872e
FollowUpId
00000000-0000-0000-0000-000000000000
Child's Name
Himanshu Kushwah
Age
2 Year 1 Month 2 Days
Gender
Male
DOB
2024-06-11
Mother’s age (years)
26 years
Mother’s education
Mother’s occupation
Homemaker
Father’s age (years)
26 years
Father’s education
Father’s occupation
Farming
Type of family
Joint
Number of family members
6
Number of siblings
0
Details of siblings (Age and sex)
Currently ANC 9 mon
Address
Baira, shivpuri
Contact
7610646522
Referred By
Doctor
Informant
Parents
Chief concerns
Delayed milestones
Duration of symptoms
Concerns noticed by school (if any)
Strengths of child
Eye contact
Fleeting
Interaction
Quality of Interaction
limited
Repetitive behaviors (RRBs)
If yes- Details
Patterned behavior or activities
If yes- Details
Others
Details:
Impression
GDD. Spastic Quadriplegic cerebral palsy
Hopes from the consultation

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