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

PatientId

b424cbc6-b2e5-40d1-8038-2e4093051bae

FollowUpId

00000000-0000-0000-0000-000000000000

Child's Name

Vivan Baghel

Age

2 Year 8 Month 11 Days

Gender

Male

DOB

2023-09-21

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

9617090649

Referred By

Informant

Chief 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

Toe walking reduced

Patterned behavior or activities

If yes- Details

Others

Details:

Impression

Started cooperating for ADLs, human interaction improved

Hopes from the consultation