PatientInfo

Is child enrolled in school

No

Intervention plan

IDP 1/week + PMT 1/week

Consanguinity

No

Neck holding

Achieved

Food preferences

Mixed

HR

Neuropsychiatric condition

No

Place of Birth

Institutional

Hospitalization

Yes

Tactile

PatientId

79fd85c1-df1c-4898-833f-3307d8e68984

FollowUpId

00000000-0000-0000-0000-000000000000

Child's Name

Dharmik Tomar

Age

2 Year 3 Month 27 Days

Gender

Male

DOB

2024-02-19

Mother’s age (years)

20 years

Mother’s education

Mother’s occupation

Homemaker

Father’s age (years)

25 years

Father’s education

Father’s occupation

Indian railways canteen work

Type of family

Nuclear

Number of family members

3

Number of siblings

0

Details of siblings (Age and sex)

Address

DD Nagar

Contact

9098449833

Referred By

Doctor

Informant

Mother

Chief concerns

Duration of symptoms

Noticed since 1 year

Concerns noticed by school (if any)

Strengths of child

Eye contact

Poor

Interaction

Quality of Interaction

limited

Repetitive behaviors (RRBs)

If yes- Details

Hand flapping, toe walking, spinning

Patterned behavior or activities

If yes- Details

Others

Details:

Impression

? ASD. M chat R score- 15

Hopes from the consultation