PatientInfo

Is child enrolled in school

No

Intervention plan

Home Based Program 1/week

Consanguinity

No

Neck holding

Achieved

Food preferences

mixed

HR

Neuropsychiatric condition

No

Place of Birth

Institutional

Hospitalization

No

Tactile

PatientId

22a7d0b6-dbc0-4fd6-8088-b645e4dc91bd

FollowUpId

00000000-0000-0000-0000-000000000000

Child's Name

Aanya Dangi

Age

2 Year 9 Month 26 Days

Gender

Female

DOB

2023-09-05

Mother’s age (years)

Mother’s education

Mother’s occupation

Father’s age (years)

Father’s education

Father’s occupation

Type of family

Nuclear

Number of family members

3

Number of siblings

0

Details of siblings (Age and sex)

0

Address

Delhi

Contact

6387204421

Referred By

Doctor

Informant

Parents

Chief concerns

Speech delay, poor response to name call

Duration of symptoms

Noticed since 2.5 years age

Concerns noticed by school (if any)

Strengths of child

Eye contact

Poor

Interaction

Quality of Interaction

limited

Repetitive behaviors (RRBs)

If yes- Details

stimming, spinnin

Patterned behavior or activities

If yes- Details

Others

Details:

Impression

? ASD

Hopes from the consultation