PatientInfo

Is child enrolled in school

Yes

Intervention plan

After evaluation

Consanguinity

No

Neck holding

Achieved

Food preferences

Mixed

HR

Neuropsychiatric condition

No

Place of Birth

Institutional

Hospitalization

No

Tactile

PatientId

b7c7398a-a9a3-426a-ab34-5c9762fbe4ee

FollowUpId

00000000-0000-0000-0000-000000000000

Child's Name

Darsh Pratap Singh

Age

3 Year 6 Month 10 Days

Gender

Male

DOB

2023-02-25

Mother’s age (years)

35 years

Mother’s education

Mother’s occupation

Homemaker

Father’s age (years)

42 years

Father’s education

Father’s occupation

Private job

Type of family

Nuclear

Number of family members

4

Number of siblings

1

Details of siblings (Age and sex)

9 year old female

Address

Govindpuri

Contact

9827734986

Referred By

Doctor

Informant

Parents

Chief concerns

Speech Delay

Duration of symptoms

Concerns noticed by school (if any)

Strengths of child

interaction is good

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

Expressive language delay

Hopes from the consultation