PatientInfo

Is child enrolled in school

No

Intervention plan

IDP 2/week +PMT 1/week

Consanguinity

No

Neck holding

Achieved

Food preferences

Picky eater

HR

Neuropsychiatric condition

No

Place of Birth

Institutional

Hospitalization

Yes

Tactile

PatientId

2130618e-def7-442f-93ff-8cc4eba39a44

FollowUpId

00000000-0000-0000-0000-000000000000

Child's Name

Shivansh Prajapati

Age

2 Year 6 Month 13 Days

Gender

Male

DOB

2023-08-31

Mother’s age (years)

30 years

Mother’s education

Mother’s occupation

Homemaker

Father’s age (years)

32 years

Father’s education

Father’s occupation

Medical represenatative

Type of family

Joint

Number of family members

9

Number of siblings

0

Details of siblings (Age and sex)

Address

Jiwanjiganj

Contact

8085388346

Referred By

Doctor

Informant

Parents

Chief concerns

Speech delay, response to name call

Duration of symptoms

Realized speech delay around 2 years

Concerns noticed by school (if any)

Strengths of child

Eye contact

Fleeting

Interaction

Quality of Interaction

limited

Repetitive behaviors (RRBs)

If yes- Details

opening and closing of behavior

Patterned behavior or activities

If yes- Details

Others

Details:

Head banging

Impression

M chat score- 10 ( High)

Hopes from the consultation