PatientInfo

Is child enrolled in school

No

Intervention plan

Home Based Plan

Consanguinity

No

Neck holding

Achieved

Food preferences

Mixed

HR

Neuropsychiatric condition

No

Place of Birth

Institutional

Hospitalization

No

Tactile

Hyposensitive

PatientId

3dea7af9-40b8-4a2e-83b6-f1c1428aaa79

FollowUpId

00000000-0000-0000-0000-000000000000

Child's Name

Shriyansh Pateriya

Age

5 Year 10 Month 0 Days

Gender

Male

DOB

2020-09-28

Mother’s age (years)

31 years

Mother’s education

Mother’s occupation

Homemaker

Father’s age (years)

34 years

Father’s education

Father’s occupation

Contractor

Type of family

Joint

Number of family members

5

Number of siblings

0

Details of siblings (Age and sex)

Address

Chhatarpur

Contact

7390090869

Referred By

Doctor

Informant

Parents

Chief concerns

Behavioral issues, poor sleep

Duration of symptoms

noticed since 1 year

Concerns noticed by school (if any)

Strengths of child

Eye contact

Suboptimal

Interaction

Quality of Interaction

limited

Repetitive behaviors (RRBs)

If yes- Details

Handflapping, jumping, stimming, spinning

Patterned behavior or activities

If yes- Details

Others

Details:

sniffs object

Impression

Hopes from the consultation