PatientInfo

Is child enrolled in school

No

Intervention plan

IDP 2/w+ PMT 1/w

Consanguinity

No

Neck holding

Achieved

Food preferences

Picky eater, prefers semi solid food and sweets.

HR

Neuropsychiatric condition

No

Place of Birth

Institutional

Hospitalization

Yes

Tactile

PatientId

9d4c44af-e8c6-4a2e-9743-22fc546e216c

FollowUpId

00000000-0000-0000-0000-000000000000

Child's Name

Adhiraj Bhardwaj

Age

4 Year 11 Month 2 Days

Gender

Male

DOB

2021-03-24

Mother’s age (years)

34 years

Mother’s education

Mother’s occupation

Homemaker

Father’s age (years)

36 years

Father’s education

Father’s occupation

Pvt job (Datia)

Type of family

Joint

Number of family members

10

Number of siblings

1

Details of siblings (Age and sex)

1- 2 year 1 mon

Address

Datia

Contact

8770718416

Referred By

Doctor

Informant

Parents

Chief concerns

Duration of symptoms

Realized atypical behaviors around 2 years age

Concerns noticed by school (if any)

Strengths of child

Eye contact

Fleeting

Interaction

Quality of Interaction

limited

Repetitive behaviors (RRBs)

If yes- Details

Jumping, toe walking, looks from corner of eyes, stimming

Patterned behavior or activities

If yes- Details

Others

Details:

Impression

Hopes from the consultation