PatientInfo

Is child enrolled in school

No

Intervention plan

IDP2/week + PMT 1/week

Consanguinity

No

Neck holding

Achieved

Food preferences

Mixed

HR

Neuropsychiatric condition

No

Place of Birth

Institutional

Hospitalization

Yes

Tactile

Hyposensitive

PatientId

66dc2824-ec72-4f27-ac5f-a1bb19f57602

FollowUpId

00000000-0000-0000-0000-000000000000

Child's Name

Satvik Baiga

Age

3 Year 10 Month 21 Days

Gender

Male

DOB

2022-08-04

Mother’s age (years)

28 years

Mother’s education

Mother’s occupation

Lab technician

Father’s age (years)

28 years

Father’s education

Father’s occupation

Private job

Type of family

Nuclear

Number of family members

4

Number of siblings

1

Details of siblings (Age and sex)

6 months age male

Address

Aamkho

Contact

7879856774

Referred By

School

Informant

Father

Chief concerns

Speech delay, hyperactivity

Duration of symptoms

Noticed since 2 years age

Concerns noticed by school (if any)

Strengths of child

Eye contact

Fleeting

Interaction

Quality of Interaction

limited

Repetitive behaviors (RRBs)

If yes- Details

Hand flapping, jumping, looks from corner of eyes

Patterned behavior or activities

If yes- Details

Repeatedly closes and open door

Others

Details:

Impression

? ASD

Hopes from the consultation