PatientInfo

Is child enrolled in school

Yes

Intervention plan

Consanguinity

No

Neck holding

Achieved

Food preferences

Mixed diet

HR

96/min

Neuropsychiatric condition

Yes

Place of Birth

Institutional

Hospitalization

No

Tactile

PatientId

3cb3757a-add1-48ee-94e8-97cdc2c49944

FollowUpId

00000000-0000-0000-0000-000000000000

Child's Name

Aditya Dhakad

Age

7 Year 11 Month 20 Days

Gender

Male

DOB

2018-05-12

Mother’s age (years)

32 years

Mother’s education

Mother’s occupation

Homemaker

Father’s age (years)

33 years

Father’s education

Father’s occupation

Farmer

Type of family

Joint

Number of family members

6

Number of siblings

2

Details of siblings (Age and sex)

1- 11.5 y female, 2- 10 year female

Address

Sabalgarh

Contact

6267442026

Referred By

Doctor

Informant

Maternal uncle (Mama)

Chief concerns

Understanding as per age

Duration of symptoms

Since early infancy

Concerns noticed by school (if any)

Strengths of child

Eye contact

Suboptimal

Interaction

prefers playing with young kids

Quality of Interaction

avoids

Repetitive behaviors (RRBs)

If yes- Details

Patterned behavior or activities

If yes- Details

Others

Details:

Cant tolerate rejection

Impression

Hopes from the consultation