PatientInfo

Is child enrolled in school

Intervention plan

IDP (1/week)+ PMT (1/week)

Consanguinity

No

Neck holding

Achieved

Food preferences

Picky eater, bottlefeeding

HR

Neuropsychiatric condition

Yes

Place of Birth

Institutional

Hospitalization

No

Tactile

PatientId

3ecc93d8-7e21-4180-bc67-e1ffea100e37

FollowUpId

00000000-0000-0000-0000-000000000000

Child's Name

Bani Kaur

Age

2 Year 9 Month 29 Days

Gender

Female

DOB

2023-04-26

Mother’s age (years)

33years

Mother’s education

Mother’s occupation

Homemaker

Father’s age (years)

33 years

Father’s education

Father’s occupation

Business (barnala)

Type of family

Joint

Number of family members

3

Number of siblings

0

Details of siblings (Age and sex)

Address

Currently In Bohdapur

Contact

6283873365

Referred By

Doctor

Informant

Mother, maternal grandmother

Chief concerns

Hyperactivity, inattention

Duration of symptoms

Concerns noticed by school (if any)

Strengths of child

Eye contact

Suboptimal

Interaction

Initiates interaction inconsistently

Quality of Interaction

limited

Repetitive behaviors (RRBs)

If yes- Details

Patterned behavior or activities

If yes- Details

Others

Details:

Impression

Hopes from the consultation