PatientInfo

Is child enrolled in school

No

Intervention plan

IDP 2/week + PMT1/week

Consanguinity

No

Neck holding

Achieved

Food preferences

Doesnt eat fruits

HR

Neuropsychiatric condition

No

Place of Birth

Institutional

Hospitalization

No

Tactile

PatientId

8567524e-809d-44af-b87a-662f07391186

FollowUpId

00000000-0000-0000-0000-000000000000

Child's Name

Avnish yadav

Age

3 Year

Gender

Male

DOB

2023-02-12

Mother’s age (years)

40 years

Mother’s education

Mother’s occupation

Homemaker

Father’s age (years)

47 years

Father’s education

Father’s occupation

Government teacher

Type of family

Nuclear

Number of family members

4

Number of siblings

1

Details of siblings (Age and sex)

1- 18 year old female

Address

Morar

Contact

6260518537

Referred By

Doctor

Informant

Parents

Chief concerns

Speech delay, behavioral issues

Duration of symptoms

Concerns noticed by school (if any)

Strengths of child

Eye contact

Fleeting

Interaction

Quality of Interaction

Repetitive behaviors (RRBs)

If yes- Details

Stimming, hand flapping

Patterned behavior or activities

If yes- Details

Others

Details:

Impression

Hopes from the consultation