PatientInfo

Is child enrolled in school

No

Intervention plan

Parents counselled

Consanguinity

No

Neck holding

Achieved

Food preferences

Mixed

HR

Neuropsychiatric condition

No

Place of Birth

Institutional

Hospitalization

No

Tactile

PatientId

85ba9f85-5853-47a0-8c5a-b45fcd0a8d3b

FollowUpId

cec91ccf-4b6b-4f43-b257-c4e854c39af7

Child's Name

Vedant Sharma

Age

2 Year 3 Month 24 Days

Gender

Male

DOB

2024-01-22

Mother’s age (years)

33 years

Mother’s education

Mother’s occupation

homemaker

Father’s age (years)

33 years

Father’s education

Father’s occupation

Govt job

Type of family

Joint

Number of family members

8

Number of siblings

1

Details of siblings (Age and sex)

7 years female

Address

Shivpuri

Contact

9340615702

Referred By

Doctor

Informant

Parents

Chief concerns

Speech delay

Duration of symptoms

Concerns noticed by school (if any)

Strengths of child

Eye contact

Suboptimal

Interaction

Quality of Interaction

age-appropriate

Repetitive behaviors (RRBs)

If yes- Details

Patterned behavior or activities

If yes- Details

Others

Details:

Impression

M chat R score- 3

Hopes from the consultation