PatientInfo

Is child enrolled in school

No

Intervention plan

After evaluation

Consanguinity

Yes

Neck holding

Achieved

Food preferences

Mixed

HR

Neuropsychiatric condition

Yes

Place of Birth

Institutional

Hospitalization

No

Tactile

PatientId

4e129096-ceca-4802-8af7-732202cf8767

FollowUpId

00000000-0000-0000-0000-000000000000

Child's Name

Ursiya Khan

Age

4 Year 7 Month 14 Days

Gender

Female

DOB

2021-11-17

Mother’s age (years)

30 years

Mother’s education

Mother’s occupation

homemaker

Father’s age (years)

35 years

Father’s education

Father’s occupation

shop

Type of family

Joint

Number of family members

7

Number of siblings

0

Details of siblings (Age and sex)

Address

Karaira, Shivpuri

Contact

9074180020

Referred By

Doctor

Informant

Parents

Chief concerns

Duration of symptoms

Concerns noticed by school (if any)

Strengths of child

Eye contact

Sustained

Interaction

Quality of Interaction

age-appropriate

Repetitive behaviors (RRBs)

If yes- Details

Patterned behavior or activities

If yes- Details

Others

Details:

Impression

GDD

Hopes from the consultation