PatientInfo

Is child enrolled in school

No

Intervention plan

Home strategies adviced

Consanguinity

No

Neck holding

Achieved

Food preferences

Picky eater

HR

Neuropsychiatric condition

No

Place of Birth

Institutional

Hospitalization

No

Tactile

PatientId

0606a5c5-afd1-49b6-ae2d-aff36c996b61

FollowUpId

00000000-0000-0000-0000-000000000000

Child's Name

Kirtika rajawat

Age

2 Year 1 Month 20 Days

Gender

Female

DOB

2024-08-03

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

0

Details of siblings (Age and sex)

Address

Bhind

Contact

9329260546

Referred By

Doctor

Informant

Mother, grandmother

Chief concerns

Delayed milestones

Duration of symptoms

Concerns noticed by school (if any)

Strengths of child

Eye contact

Suboptimal

Interaction

Quality of Interaction

limited

Repetitive behaviors (RRBs)

If yes- Details

Patterned behavior or activities

If yes- Details

Others

Details:

Impression

GDD. ?Genetic

Hopes from the consultation