PatientInfo

Is child enrolled in school

No

Intervention plan

Home startegies adviced

Consanguinity

No

Neck holding

Achieved

Food preferences

Predominantly breastfed

HR

Neuropsychiatric condition

No

Place of Birth

Institutional

Hospitalization

No

Tactile

PatientId

bfd95d06-5f83-43f4-81ee-8333d1133bd9

FollowUpId

ee42255c-83dc-47ff-bba6-af56756d9d40

Child's Name

Ved Gurjar

Age

9 Month 25 Days

Gender

Male

DOB

2025-12-01

Mother’s age (years)

26 years

Mother’s education

Mother’s occupation

Homemaker

Father’s age (years)

30 years

Father’s education

Father’s occupation

Farmer

Type of family

Joint

Number of family members

6

Number of siblings

2

Details of siblings (Age and sex)

6 years, 4 year old female

Address

Shivpuri

Contact

9098033758

Referred By

Doctor

Informant

Parents

Chief concerns

Developmental delay

Duration of symptoms

Concerns noticed by school (if any)

Strengths of child

Eye contact

Sustained

Interaction

Quality of Interaction

Repetitive behaviors (RRBs)

If yes- Details

Patterned behavior or activities

If yes- Details

Others

Details:

Impression

Hopes from the consultation