PatientInfo

Is child enrolled in school

Intervention plan

IDP + PT 5/week + PMT 1/month

Consanguinity

Neck holding

Food preferences

Mixed. Bottlefeeding+

HR

Neuropsychiatric condition

Place of Birth

Hospitalization

Tactile

PatientId

24757e6d-ea38-420b-9e74-f7f4c2635d3f

FollowUpId

88ed01aa-c10c-4458-af29-56147e0daf49

Child's Name

Kartikey Rawat

Age

2 Year 3 Month 21 Days

Gender

Male

DOB

2024-01-24

Mother’s age (years)

Mother’s education

Mother’s occupation

Father’s age (years)

Father’s education

Father’s occupation

Type of family

Number of family members

Number of siblings

Details of siblings (Age and sex)

Address

Contact

8516803913

Referred By

Informant

Chief concerns

Duration of symptoms

Concerns noticed by school (if any)

Strengths of child

Eye contact

Sustained

Interaction

Quality of Interaction

limited

Repetitive behaviors (RRBs)

If yes- Details

Patterned behavior or activities

If yes- Details

Others

Details:

Impression

Downs syndrome

Hopes from the consultation