PatientInfo

Is child enrolled in school

Intervention plan

IDP (+PT) 6/week

Consanguinity

No

Neck holding

Not achieved

Food preferences

On milk and Cerelac. Frequent regurgitations

HR

Neuropsychiatric condition

No

Place of Birth

Institutional

Hospitalization

No

Tactile

PatientId

23110fe7-f402-4890-958b-7f94a968daa2

FollowUpId

00000000-0000-0000-0000-000000000000

Child's Name

Shivam Mittal

Age

8 Month 6 Days

Gender

Male

DOB

2025-06-13

Mother’s age (years)

23 years

Mother’s education

Mother’s occupation

Homemaker

Father’s age (years)

29 years

Father’s education

Father’s occupation

Type of family

Joint

Number of family members

5

Number of siblings

0

Details of siblings (Age and sex)

Address

Contact

7828262942

Referred By

Doctor

Informant

Chief concerns

Delayed milestones

Duration of symptoms

Concerns noticed by school (if any)

Strengths of child

Eye contact

Poor

Interaction

Quality of Interaction

Repetitive behaviors (RRBs)

If yes- Details

Patterned behavior or activities

If yes- Details

Others

Details:

Impression

Hopes from the consultation