PatientInfo

Is child enrolled in school

No

Intervention plan

To be planned after BERA

Consanguinity

No

Neck holding

Achieved

Food preferences

Picky eating

HR

Neuropsychiatric condition

No

Place of Birth

Institutional

Hospitalization

Yes

Tactile

PatientId

41dabd07-a0f1-47c1-9581-78e174ac1f52

FollowUpId

00000000-0000-0000-0000-000000000000

Child's Name

Utkarsh

Age

1 Year 11 Month 22 Days

Gender

Male

DOB

2024-04-03

Mother’s age (years)

23 years

Mother’s education

Mother’s occupation

Homemaker

Father’s age (years)

30 years

Father’s education

Father’s occupation

Farming

Type of family

Joint

Number of family members

6

Number of siblings

0

Details of siblings (Age and sex)

Address

Porsa

Contact

8889586833

Referred By

Doctor

Informant

Parents

Chief concerns

Developmental delay

Duration of symptoms

Since birth

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

Hopes from the consultation