PatientInfo

Is child enrolled in school

Intervention plan

Home strategies adviced

Consanguinity

No

Neck holding

Not achieved

Food preferences

On breastfeed

HR

Neuropsychiatric condition

No

Place of Birth

Institutional

Hospitalization

Yes

Tactile

PatientId

32da29d5-eb03-4980-a0e7-0bb82d9a4a64

FollowUpId

00000000-0000-0000-0000-000000000000

Child's Name

Shivansh Lohpeeta

Age

7 Month 11 Days

Gender

Male

DOB

2026-02-10

Mother’s age (years)

21 years

Mother’s education

Mother’s occupation

Homemaker

Father’s age (years)

26 years

Father’s education

Father’s occupation

Laborer

Type of family

Nuclear

Number of family members

Number of siblings

0

Details of siblings (Age and sex)

Address

Karaira

Contact

9644377298

Referred By

Doctor

Informant

Mother, Mama

Chief concerns

Developmental delay

Duration of symptoms

Concerns noticed by school (if any)

Strengths of child

Eye contact

Poor

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

Unable to come for physical sessions