PatientInfo

Is child enrolled in school

Intervention plan

Home plan (NDT+ dietary plan)

Consanguinity

No

Neck holding

Achieved

Food preferences

Breastfeeding. Complimentary feed not started

HR

Neuropsychiatric condition

No

Place of Birth

Institutional

Hospitalization

No

Tactile

PatientId

9633e42e-fe5c-40f2-a5b5-ebc651b48894

FollowUpId

00000000-0000-0000-0000-000000000000

Child's Name

Raksha

Age

9 Month 27 Days

Gender

Female

DOB

2025-07-08

Mother’s age (years)

27 years

Mother’s education

Mother’s occupation

Homemaker

Father’s age (years)

30 years

Father’s education

Father’s occupation

Business

Type of family

Joint

Number of family members

5

Number of siblings

1

Details of siblings (Age and sex)

4 year old male

Address

Jalon

Contact

9974197165

Referred By

Doctor

Informant

Mother, uncle

Chief concerns

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:

Constipation

Impression

GDD

Hopes from the consultation