PatientInfo

Is child enrolled in school

No

Intervention plan

IDP 2/week + PMT 1/week

Consanguinity

Neck holding

Food preferences

Mixed

HR

Neuropsychiatric condition

Place of Birth

Hospitalization

Tactile

Hyposensitive

PatientId

66dc2824-ec72-4f27-ac5f-a1bb19f57602

FollowUpId

159df41c-bf6b-42eb-903d-eb22788e6cf9

Child's Name

Satvik Baiga

Age

3 Year 11 Month 21 Days

Gender

Male

DOB

2022-08-04

Mother’s age (years)

Mother’s education

Mother’s occupation

Father’s age (years)

Father’s education

Father’s occupation

Type of family

Number of family members

Number of siblings

Details of siblings (Age and sex)

Address

Contact

7879856774

Referred By

Informant

Chief concerns

Duration of symptoms

Concerns noticed by school (if any)

Strengths of child

Eye contact

Fleeting

Interaction

Interaction improved with parents

Quality of Interaction

limited

Repetitive behaviors (RRBs)

If yes- Details

Handflapping, jumping reduced

Patterned behavior or activities

If yes- Details

Reduced

Others

Details:

Object obsession reduced

Impression

Hopes from the consultation