PatientInfo

Is child enrolled in school

Intervention plan

IDP+ PT 5days/week

Consanguinity

Neck holding

Achieved

Food preferences

Complimentary feed

HR

Neuropsychiatric condition

Place of Birth

Hospitalization

Tactile

PatientId

54d34993-1c63-4813-b264-d264f2602a1e

FollowUpId

464ab7a2-eb24-4d7d-a68c-8836d6bd3a1b

Child's Name

Devansh Jadoun

Age

1 Year 2 Month 25 Days

Gender

Male

DOB

2025-07-12

Mother’s age (years)

Mother’s education

Mother’s occupation

Father’s age (years)

Father’s education

Father’s occupation

Type of family

Number of family members

Number of siblings

Details of siblings (Age and sex)

Address

Contact

8717872487

Referred By

Informant

Chief concerns

Duration of symptoms

Concerns noticed by school (if any)

Strengths of child

Eye contact

Interaction

Quality of Interaction

Repetitive behaviors (RRBs)

If yes- Details

Patterned behavior or activities

If yes- Details

Others

Details:

Impression

Spasticity++, DTR- brisk, extensor tone Increased

Hopes from the consultation