PatientInfo

Is child enrolled in school

No

Intervention plan

IDP (+PT) 3/week, PMT 1/15 days

Consanguinity

No

Neck holding

Achieved

Food preferences

Bottlefeeding still there

HR

Neuropsychiatric condition

No

Place of Birth

Institutional

Hospitalization

No

Tactile

PatientId

529e76c7-f380-4da6-8caf-3a1040d70956

FollowUpId

00000000-0000-0000-0000-000000000000

Child's Name

Kunal Goatam

Age

3 Year 9 Month 25 Days

Gender

Male

DOB

2022-05-31

Mother’s age (years)

28 years

Mother’s education

Mother’s occupation

Homemaker

Father’s age (years)

30 years

Father’s education

Father’s occupation

Private job

Type of family

Nuclear

Number of family members

3

Number of siblings

1

Details of siblings (Age and sex)

Address

Bilaua

Contact

7970227031

Referred By

Relative

Informant

Mother, Paternal aunt (Mami)

Chief concerns

Delayed development

Duration of symptoms

Since birth

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, CP (? HIE sequelae)

Hopes from the consultation