PatientInfo

Is child enrolled in school

Intervention plan

IDP (+PT)

Consanguinity

No

Neck holding

Not achieved

Food preferences

Complimentary feed started 1 mon back

HR

Neuropsychiatric condition

No

Place of Birth

Institutional

Hospitalization

Yes

Tactile

PatientId

2642db9d-e76d-458d-a0b0-b04b16c934cc

FollowUpId

00000000-0000-0000-0000-000000000000

Child's Name

Aadhya Prajapati

Age

8 Month 19 Days

Gender

Female

DOB

2025-07-15

Mother’s age (years)

30 years

Mother’s education

Mother’s occupation

Housewife

Father’s age (years)

32 years

Father’s education

Father’s occupation

Teacher

Type of family

Joint

Number of family members

7

Number of siblings

1

Details of siblings (Age and sex)

Address

Chhatarpur

Contact

6261620702

Referred By

Doctor

Informant

Parents

Chief concerns

Delayed development

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