PatientInfo

Is child enrolled in school

No

Intervention plan

HBP 1 /week

Consanguinity

No

Neck holding

Achieved

Food preferences

HR

Neuropsychiatric condition

No

Place of Birth

Institutional

Hospitalization

Yes

Tactile

PatientId

9b98a946-4452-48fe-a0bf-3178366511b3

FollowUpId

00000000-0000-0000-0000-000000000000

Child's Name

Adarsh Shivhare

Age

3 Year 5 Month 2 Days

Gender

Male

DOB

2022-11-25

Mother’s age (years)

35 years

Mother’s education

Mother’s occupation

Homemaker

Father’s age (years)

38 years

Father’s education

Father’s occupation

Govt serice

Type of family

Nuclear

Number of family members

3

Number of siblings

0

Details of siblings (Age and sex)

Address

Sheopur

Contact

7898867962

Referred By

Doctor

Informant

Parents

Chief concerns

Understanding not as per age

Duration of symptoms

Concerns noticed by school (if any)

Strengths of child

Eye contact

Suboptimal

Interaction

Quality of Interaction

age-appropriate

Repetitive behaviors (RRBs)

If yes- Details

stimming

Patterned behavior or activities

If yes- Details

Others

Details:

Scared of stairs. Plays with bits of paper.

Impression

GDD ? ASD. M chat R score 14

Hopes from the consultation