PatientInfo

Is child enrolled in school

Intervention plan

IDP (+PT) 3/week

Consanguinity

No

Neck holding

Achieved

Food preferences

HR

Neuropsychiatric condition

Yes

Place of Birth

Institutional

Hospitalization

No

Tactile

PatientId

a1ae1a20-17ce-4b97-a0eb-fb06e1089c98

FollowUpId

00000000-0000-0000-0000-000000000000

Child's Name

Harshiv Gupta

Age

2 Year 2 Month 22 Days

Gender

Male

DOB

2023-12-01

Mother’s age (years)

31 years

Mother’s education

Mother’s occupation

Housewife

Father’s age (years)

35 years

Father’s education

Father’s occupation

Private job (sewda)

Type of family

Joint

Number of family members

5

Number of siblings

1

Details of siblings (Age and sex)

Address

Contact

7489936093

Referred By

Doctor

Informant

Parents

Chief concerns

Developmental delay

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

Hopes from the consultation