PatientInfo

Is child enrolled in school

No

Intervention plan

Home strategies adviced

Consanguinity

No

Neck holding

Achieved

Food preferences

Mixed

HR

Neuropsychiatric condition

No

Place of Birth

Institutional

Hospitalization

No

Tactile

PatientId

946d091f-596e-427b-b4b6-4102d2ab948a

FollowUpId

00000000-0000-0000-0000-000000000000

Child's Name

Anay Sharma

Age

2 Year 2 Month 2 Days

Gender

Male

DOB

2024-05-14

Mother’s age (years)

31 years

Mother’s education

Mother’s occupation

Homemaker

Father’s age (years)

42 years

Father’s education

Father’s occupation

Contractor

Type of family

Nuclear

Number of family members

4

Number of siblings

1

Details of siblings (Age and sex)

40 days

Address

Tansen Nagar

Contact

7581811100

Referred By

Doctor

Informant

Parents

Chief concerns

Speech delay

Duration of symptoms

Concerns noticed by school (if any)

Strengths of child

Eye contact

Suboptimal

Interaction

interaction better with known people

Quality of Interaction

limited

Repetitive behaviors (RRBs)

If yes- Details

Patterned behavior or activities

If yes- Details

Others

Details:

Impression

Language delay. M chat- 3 (Moderate risk for ASD)

Hopes from the consultation