PatientInfo

Is child enrolled in school

Yes

Intervention plan

IDP+ PT 5 days/week for 15 days then 3/week

Consanguinity

No

Neck holding

Achieved

Food preferences

Mixed

HR

Neuropsychiatric condition

No

Place of Birth

Institutional

Hospitalization

Yes

Tactile

PatientId

50ff68c9-3343-408b-9550-39d1976125a2

FollowUpId

cde4bd18-57c2-4afd-bf0f-d09145d77941

Child's Name

Ayan Sahu

Age

7 Year 9 Month 27 Days

Gender

Male

DOB

2018-11-21

Mother’s age (years)

Mother’s education

Mother’s occupation

Father’s age (years)

Father’s education

Father’s occupation

Type of family

Joint

Number of family members

5

Number of siblings

1

Details of siblings (Age and sex)

3 year old male

Address

Dabra

Contact

8269580393

Referred By

Doctor

Informant

Parent

Chief concerns

O/C/O Planovalgus

Duration of symptoms

Concerns noticed by school (if any)

Strengths of child

Eye contact

Sustained

Interaction

Quality of Interaction

age-appropriate

Repetitive behaviors (RRBs)

If yes- Details

Patterned behavior or activities

If yes- Details

Others

Details:

Impression

Spastic hempiplegic cerebral palsy with P/O/C of planovalgus

Hopes from the consultation