Details

PatientInfo


Is child enrolled in school
Intervention plan
Early intervention adviced, Unable to visit. Advised for home.
Consanguinity
No
Neck holding
Not achieved
Food preferences
On bottlefeeding
HR
Neuropsychiatric condition
No
Place of Birth
Institutional
Hospitalization
Yes
Tactile
PatientId
aeee30a2-e3d1-492b-aa3e-fcc2fc96d364
FollowUpId
00000000-0000-0000-0000-000000000000
Child's Name
Rudransh Parmar
Age
1 Year 3 Month 7 Days
Gender
Male
DOB
2025-04-14
Mother’s age (years)
Deceased
Mother’s education
Mother’s occupation
Father’s age (years)
28 years
Father’s education
Father’s occupation
Private job
Type of family
Joint
Number of family members
6
Number of siblings
0
Details of siblings (Age and sex)
Address
Mohna
Contact
7247517896
Referred By
Doctor
Informant
Grandmother
Chief concerns
Delayed milestones
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
Spastic quadriplegic cerebral palsy, GDD, microcephaly
Hopes from the consultation

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