PatientInfo

Is child enrolled in school

Intervention plan

Home strategies adviced

Consanguinity

No

Neck holding

Achieved

Food preferences

Mixed. Bottlefeeding

HR

Neuropsychiatric condition

No

Place of Birth

Institutional

Hospitalization

No

Tactile

PatientId

693b7a2d-3a43-49bd-b452-b54f4393e8e2

FollowUpId

00000000-0000-0000-0000-000000000000

Child's Name

Parth Rajwani

Age

1 Year

Gender

Male

DOB

2025-09-03

Mother’s age (years)

32 years

Mother’s education

Mother’s occupation

Homemaker

Father’s age (years)

38 years

Father’s education

Father’s occupation

Business

Type of family

Joint

Number of family members

5

Number of siblings

0

Details of siblings (Age and sex)

Address

Datia

Contact

9752252102

Referred By

Doctor

Informant

Mother, Grandmother

Chief concerns

Delayed milestones

Duration of symptoms

Since 6 months age

Concerns noticed by school (if any)

Strengths of child

Interaction is good

Eye contact

Suboptimal

Interaction

Quality of Interaction

Repetitive behaviors (RRBs)

If yes- Details

Patterned behavior or activities

If yes- Details

Others

Details:

Impression

GDD. CP. Infantile spasms

Hopes from the consultation

Unable to come for phsyical sessions