PatientInfo

Is child enrolled in school

No

Intervention plan

Home startegies adviced

Consanguinity

No

Neck holding

Achieved

Food preferences

Mixed

HR

Neuropsychiatric condition

No

Place of Birth

Institutional

Hospitalization

Yes

Tactile

PatientId

602913d4-4cdf-4c1e-9b94-0068996bb013

FollowUpId

00000000-0000-0000-0000-000000000000

Child's Name

Aryan Yadav

Age

9 Year 4 Month 5 Days

Gender

Male

DOB

2017-05-09

Mother’s age (years)

30 years

Mother’s education

Mother’s occupation

Homemaker

Father’s age (years)

43 years

Father’s education

Father’s occupation

Private job

Type of family

Joint

Number of family members

-1

Number of siblings

2

Details of siblings (Age and sex)

1-12 year old female, 2- 7 year old male

Address

Etawah

Contact

7290098860

Referred By

Doctor

Informant

Parents

Chief concerns

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

Spastic Quadriplegic Cerebral Palsy, GDD, Epilepsy

Hopes from the consultation