PatientInfo

Is child enrolled in school

No

Intervention plan

IDP 2/week +PMT 1/week

Consanguinity

No

Neck holding

Achieved

Food preferences

Picky eater . Bottlefeeding

HR

Neuropsychiatric condition

No

Place of Birth

Institutional

Hospitalization

No

Tactile

Hyposensitive

PatientId

70a2bd9f-1bf4-4815-9302-faefdf77d848

FollowUpId

00000000-0000-0000-0000-000000000000

Child's Name

Yuvraj Gurjar

Age

2 Year 7 Month 3 Days

Gender

Male

DOB

2023-09-26

Mother’s age (years)

22 years

Mother’s education

Mother’s occupation

Homemaker

Father’s age (years)

28 years

Father’s education

Father’s occupation

ICICI

Type of family

Nuclear

Number of family members

3

Number of siblings

Details of siblings (Age and sex)

Address

Tekanpur

Contact

9243116415

Referred By

Doctor

Informant

Parents

Chief concerns

Speech delay, Behavioral concerns

Duration of symptoms

Concerns noticed by school (if any)

Strengths of child

Eye contact

Fleeting

Interaction

Quality of Interaction

limited

Repetitive behaviors (RRBs)

If yes- Details

Handflapping

Patterned behavior or activities

If yes- Details

Others

Details:

Impression

? ASD. M chat R score- 14

Hopes from the consultation