PatientInfo

Is child enrolled in school

Intervention plan

IDP (+PT) 2/week+ PMT 1/15 days

Consanguinity

No

Neck holding

Not achieved

Food preferences

Giving- Dalia, Khichdi. milk (500ml), banana

HR

Neuropsychiatric condition

No

Place of Birth

Home

Hospitalization

Yes

Tactile

PatientId

b3cb7470-42cd-41dd-be67-b7b84ce064a7

FollowUpId

00000000-0000-0000-0000-000000000000

Child's Name

Vedika Kushwaha

Age

1 Year 9 Month 9 Days

Gender

Female

DOB

2024-05-08

Mother’s age (years)

23 years

Mother’s education

Mother’s occupation

Homemaker

Father’s age (years)

26 years

Father’s education

Father’s occupation

Teacher

Type of family

Joint

Number of family members

4

Number of siblings

0

Details of siblings (Age and sex)

Address

Kolaras, Shivpuri

Contact

7974731722

Referred By

Doctor

Informant

Chief concerns

Delayed milestones

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