PatientInfo

Is child enrolled in school

No

Intervention plan

Consanguinity

No

Neck holding

Achieved

Food preferences

Mixed. Bottlefeeding.

HR

Neuropsychiatric condition

No

Place of Birth

Institutional

Hospitalization

No

Tactile

PatientId

89baad15-662e-4530-8abe-c9a2718637de

FollowUpId

00000000-0000-0000-0000-000000000000

Child's Name

Adhiraj Agrawal

Age

1 Year 8 Month 9 Days

Gender

Male

DOB

2024-09-25

Mother’s age (years)

43 years

Mother’s education

Mother’s occupation

Homemaker

Father’s age (years)

Deceased 2 mon back

Father’s education

Father’s occupation

Type of family

Joint

Number of family members

17

Number of siblings

2

Details of siblings (Age and sex)

13,12 year females

Address

Chhatarpur

Contact

6266385698

Referred By

Doctor

Informant

Parents

Chief concerns

Delaye walking

Duration of symptoms

Concerns noticed by school (if any)

Strengths of child

Eye contact

Sustained

Interaction

Quality of Interaction

age-appropriate

Repetitive behaviors (RRBs)

If yes- Details

Patterned behavior or activities

If yes- Details

Others

Details:

Impression

Spastic diplegic cerebral palsy

Hopes from the consultation