PatientInfo

Is child enrolled in school

Yes

Intervention plan

IDP 2/week+ PMT 1/week

Consanguinity

No

Neck holding

Achieved

Food preferences

Doesnt eats solid foods

HR

Neuropsychiatric condition

No

Place of Birth

Institutional

Hospitalization

No

Tactile

PatientId

8c4da208-78bb-40f3-ab69-1f4e9d6b4f6f

FollowUpId

00000000-0000-0000-0000-000000000000

Child's Name

Aatharv Bansal

Age

3 Year 7 Month 7 Days

Gender

Male

DOB

2022-08-14

Mother’s age (years)

36 years

Mother’s education

Mother’s occupation

Homemaker

Father’s age (years)

36 years

Father’s education

Father’s occupation

Asst Engineer (Guna)

Type of family

Joint

Number of family members

4

Number of siblings

0

Details of siblings (Age and sex)

Address

Sabalgarh

Contact

9893106998

Referred By

Doctor

Informant

Chief concerns

Duration of symptoms

At 1.5 years realized speech delay and hyperactivity

Concerns noticed by school (if any)

Strengths of child

Doesnt eat food, behavioral issues

Eye contact

Fleeting

Interaction

Quality of Interaction

limited

Repetitive behaviors (RRBs)

If yes- Details

Spinning

Patterned behavior or activities

If yes- Details

Others

Details:

Impression

ASD

Hopes from the consultation