PatientInfo

Is child enrolled in school

Yes

Intervention plan

IDP 3/week +PMT 1/week

Consanguinity

No

Neck holding

Achieved

Food preferences

HR

Neuropsychiatric condition

No

Place of Birth

Home

Hospitalization

No

Tactile

PatientId

4456f5a6-3e1e-4528-8205-13ea8612ca92

FollowUpId

00000000-0000-0000-0000-000000000000

Child's Name

Prabal Tomar

Age

4 Year

Gender

Male

DOB

2022-03-19

Mother’s age (years)

28 years

Mother’s education

Mother’s occupation

Homemaker

Father’s age (years)

29 years

Father’s education

Father’s occupation

Army (Poonch)

Type of family

Joint

Number of family members

6

Number of siblings

1

Details of siblings (Age and sex)

1 month -/*9/

Address

D D Nagar

Contact

8450888959

Referred By

Doctor

Informant

Mother

Chief concerns

Hyperactivity, Poor human interaction

Duration of symptoms

Concerns noticed by school (if any)

Strengths of child

Eye contact

Poor

Interaction

Quality of Interaction

limited

Repetitive behaviors (RRBs)

If yes- Details

Running to and fro

Patterned behavior or activities

If yes- Details

Others

Details:

Impression

ASD

Hopes from the consultation