PatientInfo

Is child enrolled in school

Intervention plan

IDP 2/week

Consanguinity

Neck holding

Achieved

Food preferences

Mixed diet

HR

Neuropsychiatric condition

No

Place of Birth

Hospitalization

No

Tactile

PatientId

ab12fe88-c636-4290-bea7-86b9222c74ac

FollowUpId

00000000-0000-0000-0000-000000000000

Child's Name

Naina Saxena

Age

11 Month 3 Days

Gender

Female

DOB

2025-06-09

Mother’s age (years)

46 years

Mother’s education

Mother’s occupation

Teacher

Father’s age (years)

50 years

Father’s education

Father’s occupation

Private job

Type of family

Nuclear

Number of family members

3

Number of siblings

0

Details of siblings (Age and sex)

Address

Vinay year

Contact

9827336861

Referred By

Doctor

Informant

Chief concerns

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

GDD

Hopes from the consultation