PatientInfo

Is child enrolled in school

Intervention plan

IDP (+PT) 5/ week

Consanguinity

No

Neck holding

Not achieved

Food preferences

Predominantly on milk

HR

Neuropsychiatric condition

No

Place of Birth

Institutional

Hospitalization

No

Tactile

PatientId

99b00ab5-cdf3-462d-b13d-ddee592471e3

FollowUpId

9f48447a-89e7-4550-96dc-caa5d985fae7

Child's Name

Gouravi Yadav

Age

10 Month 8 Days

Gender

Female

DOB

2025-07-03

Mother’s age (years)

25 years

Mother’s education

Mother’s occupation

Homemaker

Father’s age (years)

28 years

Father’s education

Father’s occupation

Business

Type of family

Joint

Number of family members

9

Number of siblings

0

Details of siblings (Age and sex)

Address

Contact

9753938907

Referred By

Doctor

Informant

Chief concerns

Delayed milestones

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

GDD with birth asphyxia

Hopes from the consultation