PatientInfo

Is child enrolled in school

Yes

Intervention plan

IEP 2/week + PMT 1/15 days

Consanguinity

No

Neck holding

Achieved

Food preferences

Mixed

HR

Neuropsychiatric condition

Yes

Place of Birth

Institutional

Hospitalization

Yes

Tactile

PatientId

fa020b2e-4df6-44ab-adf4-dfa88ab0b8a7

FollowUpId

00000000-0000-0000-0000-000000000000

Child's Name

Ansh Agrawal

Age

12 Year 10 Month 19 Days

Gender

Male

DOB

2013-07-03

Mother’s age (years)

Mother’s education

Mother’s occupation

Father’s age (years)

Father’s education

Father’s occupation

Type of family

Joint

Number of family members

5

Number of siblings

0

Details of siblings (Age and sex)

Address

Anand Nagar

Contact

8770327188

Referred By

Healthcare worker

Informant

Parents

Chief concerns

Understanding not as per age, poor acdemics

Duration of symptoms

Since early infancy

Concerns noticed by school (if any)

Strengths of child

Eye contact

Suboptimal

Interaction

Quality of Interaction

age-appropriate

Repetitive behaviors (RRBs)

If yes- Details

Patterned behavior or activities

If yes- Details

Others

Details:

Fidgetiness+. Hits fathers

Impression

ID

Hopes from the consultation