PatientInfo

Is child enrolled in school

No

Intervention plan

Home based startegies

Consanguinity

No

Neck holding

Achieved

Food preferences

Mixed

HR

Neuropsychiatric condition

No

Place of Birth

Institutional

Hospitalization

No

Tactile

PatientId

216aa118-8988-4dba-893b-a31685c6ffd6

FollowUpId

00000000-0000-0000-0000-000000000000

Child's Name

Chirag

Age

1 Year 11 Month 6 Days

Gender

Male

DOB

2024-10-29

Mother’s age (years)

26 years

Mother’s education

Mother’s occupation

Homemaker

Father’s age (years)

26 years

Father’s education

Father’s occupation

Farmer

Type of family

Joint

Number of family members

Number of siblings

1

Details of siblings (Age and sex)

3 months

Address

12

Contact

9617142429

Referred By

Doctor

Informant

Grandparents

Chief concerns

Development 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

GDD. Quadriplegic CP

Hopes from the consultation