PatientInfo

Is child enrolled in school

No

Intervention plan

Consanguinity

No

Neck holding

Achieved

Food preferences

Mixed

HR

Neuropsychiatric condition

Yes

Place of Birth

Institutional

Hospitalization

Yes

Tactile

PatientId

9e0c3a5c-0c52-463a-a102-4406c61966f3

FollowUpId

00000000-0000-0000-0000-000000000000

Child's Name

NISHANK

Age

3 Year 7 Month 13 Days

Gender

Male

DOB

2023-02-15

Mother’s age (years)

Mother’s education

Mother’s occupation

Father’s age (years)

Father’s education

Father’s occupation

Type of family

Number of family members

Number of siblings

2

Details of siblings (Age and sex)

11 year old female female, 8 year old

Address

7

Contact

9981956010

Referred By

Doctor

Informant

Parents

Chief concerns

Developmental Delay

Duration of symptoms

Concerns noticed by school (if any)

Strengths of child

Eye contact

Fleeting

Interaction

Quality of Interaction

Repetitive behaviors (RRBs)

If yes- Details

Handflapping

Patterned behavior or activities

If yes- Details

Others

Details:

Impression

GDD. ? Genetic ?IEM

Hopes from the consultation