PatientInfo

Is child enrolled in school

Intervention plan

Home strategies adviced

Consanguinity

No

Neck holding

Not achieved

Food preferences

Diet

HR

Neuropsychiatric condition

No

Place of Birth

Institutional

Hospitalization

Yes

Tactile

PatientId

20036bb9-03ac-4ac1-be46-e50069265f5f

FollowUpId

00000000-0000-0000-0000-000000000000

Child's Name

Anmol

Age

1 Year

Gender

Male

DOB

2025-09-18

Mother’s age (years)

21

Mother’s education

Mother’s occupation

Homemaker

Father’s age (years)

24

Father’s education

Father’s occupation

Farmer

Type of family

Joint

Number of family members

Number of siblings

0

Details of siblings (Age and sex)

Address

Jalon

Contact

8957072897

Referred By

Doctor

Informant

Mother, grandparents

Chief concerns

Developmental delay

Duration of symptoms

Concerns noticed by school (if any)

Strengths of child

Eye contact

Suboptimal

Interaction

Quality of Interaction

Repetitive behaviors (RRBs)

If yes- Details

Patterned behavior or activities

If yes- Details

Others

Details:

Impression

GDD. Microcephaly. (NHBI)

Hopes from the consultation

Parents cant take physical sessions