PatientInfo

Is child enrolled in school

No

Intervention plan

Parents counselled. Home strategies adviced

Consanguinity

No

Neck holding

Achieved

Food preferences

Mixed

HR

Neuropsychiatric condition

Yes

Place of Birth

Institutional

Hospitalization

No

Tactile

PatientId

e7658346-8d2a-4c32-ba71-cb029d2181f5

FollowUpId

72ff1c7c-b23b-4a26-b210-65bbd71cf80f

Child's Name

Medant Sharma

Age

9 Month 13 Days

Gender

Male

DOB

2025-11-13

Mother’s age (years)

Mother’s education

Mother’s occupation

Father’s age (years)

Father’s education

Father’s occupation

Type of family

Nuclear

Number of family members

3

Number of siblings

0

Details of siblings (Age and sex)

Address

AG colony

Contact

7509202585

Referred By

Doctor

Informant

Parents

Chief concerns

Reduced response to name call

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

Hopes from the consultation