PatientInfo

Is child enrolled in school

No

Intervention plan

After evaluation

Consanguinity

No

Neck holding

Achieved

Food preferences

Mixed

HR

Neuropsychiatric condition

No

Place of Birth

Institutional

Hospitalization

Yes

Tactile

Hypersensitive

PatientId

e1feec85-54ad-40c6-9465-a048c21b3022

FollowUpId

00000000-0000-0000-0000-000000000000

Child's Name

Avyukt Gupta

Age

2 Year 9 Month 0 Days

Gender

Male

DOB

2024-01-02

Mother’s age (years)

Mother’s education

Mother’s occupation

Homemaker

Father’s age (years)

Father’s education

Father’s occupation

Engineer

Type of family

Joint

Number of family members

5

Number of siblings

0

Details of siblings (Age and sex)

Address

HG Emerald Greens

Contact

9999396862

Referred By

Doctor

Informant

Parents

Chief concerns

Speech delay

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

language delay

Hopes from the consultation