PatientInfo

Is child enrolled in school

No

Intervention plan

Consanguinity

No

Neck holding

Not achieved

Food preferences

Mixed

HR

Neuropsychiatric condition

No

Place of Birth

Institutional

Hospitalization

No

Tactile

PatientId

570b3916-5782-416f-914e-efb8b55647a6

FollowUpId

00000000-0000-0000-0000-000000000000

Child's Name

Jigyansh Tyagi

Age

2 Year 4 Month 3 Days

Gender

Male

DOB

2024-03-24

Mother’s age (years)

35 years

Mother’s education

Mother’s occupation

Homemaker

Father’s age (years)

37 years

Father’s education

Father’s occupation

Farmer

Type of family

Joint

Number of family members

Number of siblings

0

Details of siblings (Age and sex)

Address

Joura

Contact

9009117962

Referred By

Doctor

Informant

Parents

Chief concerns

Delayed milestones

Duration of symptoms

Concerns noticed by school (if any)

Strengths of child

Interaction is good

Eye contact

Suboptimal

Interaction

Quality of Interaction

Repetitive behaviors (RRBs)

If yes- Details

Patterned behavior or activities

If yes- Details

Others

Details:

Impression

GDD with hypotonia

Hopes from the consultation