Details

PatientInfo


Is child enrolled in school
No
Intervention plan
Home based strategies. Stop bottlfeeding. Initiate complimentary feeding as adviced with supported sitting, safely. PT activities at home.
Consanguinity
No
Neck holding
Not achieved
Food preferences
On breastfeeding + bottlefeeding
HR
Neuropsychiatric condition
No
Place of Birth
Institutional
Hospitalization
No
Tactile
PatientId
f69189d7-6c21-435d-b4e2-d4a5a1d67411
FollowUpId
00000000-0000-0000-0000-000000000000
Child's Name
Mohammad Khan
Age
8 Month 8 Days
Gender
Male
DOB
2026-02-04
Mother’s age (years)
30 years
Mother’s education
Mother’s occupation
Homemaker
Father’s age (years)
40 years
Father’s education
Father’s occupation
Driver
Type of family
Joint
Number of family members
Number of siblings
2
Details of siblings (Age and sex)
1- 9 year old female, 2- 3 year old female
Address
Joura
Contact
7610117970
Referred By
Doctor
Informant
Parents
Chief concerns
Delayed milestones
Duration of symptoms
Concerns noticed by school (if any)
Strengths of child
Eye contact
Suboptimal
Interaction
Quality of Interaction
Repetitive behaviors (RRBs)
If yes- Details
Patterned behavior or activities
If yes- Details
Others
Details:
Impression
GDD (Down syndrome )
Hopes from the consultation

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