PatientInfo

Is child enrolled in school

No

Intervention plan

Parents counselled. Diet adviced

Consanguinity

No

Neck holding

Achieved

Food preferences

Predominantly milk by bottle

HR

Neuropsychiatric condition

No

Place of Birth

Home

Hospitalization

Yes

Tactile

PatientId

c66e2d14-fe2c-49ae-8752-e2b3809471d4

FollowUpId

e22684f7-4e21-4cda-a6cd-7ad29227a958

Child's Name

Lavya Kushwah

Age

2 Year 1 Month 26 Days

Gender

Female

DOB

2024-03-23

Mother’s age (years)

25 years

Mother’s education

Mother’s occupation

Homemaker

Father’s age (years)

26 years

Father’s education

Father’s occupation

Private job

Type of family

Joint

Number of family members

9

Number of siblings

1

Details of siblings (Age and sex)

6 year old female

Address

Bhind

Contact

8964878336

Referred By

Doctor

Informant

Mother, maternal uncle

Chief concerns

Development delay

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:

Mouthing of hands

Impression

GDD. ITS

Hopes from the consultation