PatientInfo

Is child enrolled in school

No

Intervention plan

IDP (+PT) 3/week + PMT 1/month

Consanguinity

No

Neck holding

Achieved

Food preferences

HR

Neuropsychiatric condition

No

Place of Birth

Institutional

Hospitalization

Yes

Tactile

PatientId

b94ecaf0-8490-4917-8d60-a78f54e2b74c

FollowUpId

00000000-0000-0000-0000-000000000000

Child's Name

Yash

Age

2 Year 8 Month 7 Days

Gender

Male

DOB

2023-07-02

Mother’s age (years)

25 years

Mother’s education

Mother’s occupation

Homemaker

Father’s age (years)

25 years

Father’s education

Father’s occupation

Private job

Type of family

Joint

Number of family members

5

Number of siblings

0

Details of siblings (Age and sex)

Address

Contact

9165909023

Referred By

Doctor

Informant

Chief concerns

Speech delay, Unable to walk

Duration of symptoms

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:

Impression

Hopes from the consultation