Details

PatientInfo


Is child enrolled in school
Yes
Intervention plan
Home Based Program
Consanguinity
Yes
Neck holding
Achieved
Food preferences
HR
Neuropsychiatric condition
Yes
Place of Birth
Institutional
Hospitalization
Yes
Tactile
Hyposensitive
PatientId
ab38d334-860c-4ae1-ace5-b6da963abdd2
FollowUpId
00000000-0000-0000-0000-000000000000
Child's Name
Ishan Sharma
Age
3 Year 4 Month 28 Days
Gender
Male
DOB
2022-11-06
Mother’s age (years)
33 years
Mother’s education
Mother’s occupation
Clerk in PHE
Father’s age (years)
37 years
Father’s education
Father’s occupation
MPEB, Bhind
Type of family
Joint
Number of family members
4
Number of siblings
0
Details of siblings (Age and sex)
Address
Bhind
Contact
6232914812
Referred By
Doctor
Informant
Parents
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
Patterned behavior or activities
If yes- Details
Others
Details:
Obsession with spherical objects and objects which spin, hits himself when irritated
Impression
ASD
Hopes from the consultation

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