PatientInfo

Is child enrolled in school

No

Intervention plan

IDP +PT 3/week

Consanguinity

No

Neck holding

Not achieved

Food preferences

Predominantly milk

HR

Neuropsychiatric condition

No

Place of Birth

Institutional

Hospitalization

No

Tactile

PatientId

87135ea6-5c25-451a-847f-647d1a13b0cd

FollowUpId

a5a8de6c-dbdf-45ff-a611-023ab8e50c11

Child's Name

Divyansh Rawat

Age

1 Year

Gender

Male

DOB

2025-07-15

Mother’s age (years)

27 years

Mother’s education

Mother’s occupation

Homemaker

Father’s age (years)

25 years

Father’s education

Father’s occupation

Farmer

Type of family

Joint

Number of family members

Number of siblings

0

Details of siblings (Age and sex)

Address

Karaira

Contact

7610646522

Referred By

Doctor

Informant

Mother

Chief concerns

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

Hopes from the consultation