PatientInfo

Is child enrolled in school

No

Intervention plan

Home strategies adviced

Consanguinity

No

Neck holding

Achieved

Food preferences

Predominantlt milk

HR

Neuropsychiatric condition

No

Place of Birth

Institutional

Hospitalization

No

Tactile

PatientId

7c440e5c-a833-4817-8b4d-9be9c3ec0584

FollowUpId

00000000-0000-0000-0000-000000000000

Child's Name

Nandita Gautam

Age

1 Year 6 Month 3 Days

Gender

Female

DOB

2025-03-30

Mother’s age (years)

31 years

Mother’s education

Mother’s occupation

Homemaker

Father’s age (years)

35 years

Father’s education

Father’s occupation

Private job

Type of family

Nuclear

Number of family members

3

Number of siblings

1

Details of siblings (Age and sex)

2.5 year old female

Address

Etawah

Contact

7906005036

Referred By

Doctor

Informant

Mother, paternal uncle

Chief concerns

Developmental delay

Duration of symptoms

Concerns noticed by school (if any)

Strengths of child

Eye contact

Interaction

Quality of Interaction

Repetitive behaviors (RRBs)

If yes- Details

Patterned behavior or activities

If yes- Details

Others

Details:

Impression

GDD ? Nutritional

Hopes from the consultation

unable to take physical sessions