PatientInfo

Is child enrolled in school

Intervention plan

IDP +PT 3 days/week. (Home strategies advised)

Consanguinity

No

Neck holding

Achieved

Food preferences

Prefers eating in puree form

HR

Neuropsychiatric condition

No

Place of Birth

Institutional

Hospitalization

No

Tactile

PatientId

378699df-ec06-47a4-abbb-71d89aeb01d3

FollowUpId

00000000-0000-0000-0000-000000000000

Child's Name

Shivansh Gupta

Age

10 Month 28 Days

Gender

Male

DOB

2025-06-20

Mother’s age (years)

Mother’s education

Mother’s occupation

Father’s age (years)

Father’s education

Father’s occupation

Type of family

Nuclear

Number of family members

4

Number of siblings

1

Details of siblings (Age and sex)

5 year male

Address

Datia

Contact

9111331885

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 with Profound hearing impairment

Hopes from the consultation