PatientInfo

Is child enrolled in school

No

Intervention plan

IDP (+PT) 2/week

Consanguinity

No

Neck holding

Not achieved

Food preferences

On topfeeding bottlefeeding.

HR

Neuropsychiatric condition

No

Place of Birth

Institutional

Hospitalization

Yes

Tactile

PatientId

cd4ca88c-402a-42dc-a375-146ab4381aa4

FollowUpId

40202508-c232-456f-9c1b-6c7a4ddb2e5e

Child's Name

Harshit Kumar

Age

10 Month 16 Days

Gender

Male

DOB

2025-06-25

Mother’s age (years)

21 years

Mother’s education

Mother’s occupation

Homemaker

Father’s age (years)

30 years

Father’s education

Father’s occupation

Farmer

Type of family

Joint

Number of family members

7

Number of siblings

0

Details of siblings (Age and sex)

Address

Dhaulpur

Contact

8058774542

Referred By

Doctor

Informant

Mother father

Chief concerns

Delayed development

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

GDD

Hopes from the consultation