PatientInfo

Is child enrolled in school

Intervention plan

IDP + PT 1/week . Home strategies.

Consanguinity

No

Neck holding

Achieved

Food preferences

Mixed diet

HR

Neuropsychiatric condition

No

Place of Birth

Institutional

Hospitalization

Yes

Tactile

PatientId

891bf8d8-ccdf-4765-a7ce-522d805b36be

FollowUpId

116ff752-72ed-4be4-913b-d5dbf456b4a5

Child's Name

Aada Khan

Age

10 Month 0 Days

Gender

Male

DOB

2025-11-14

Mother’s age (years)

30 years

Mother’s education

Mother’s occupation

Homemaker

Father’s age (years)

31 years

Father’s education

Father’s occupation

Private

Type of family

Joint

Number of family members

4

Number of siblings

0

Details of siblings (Age and sex)

Address

Shivpuri

Contact

6268922801

Referred By

Doctor

Informant

Parents

Chief concerns

Developmental delay

Duration of symptoms

Concerns noticed by school (if any)

Strengths of child

Eye contact

Sustained

Interaction

Quality of Interaction

Repetitive behaviors (RRBs)

If yes- Details

Patterned behavior or activities

If yes- Details

Others

Details:

Impression

GDD

Hopes from the consultation