PatientInfo

Is child enrolled in school

No

Intervention plan

Consanguinity

No

Neck holding

Achieved

Food preferences

Eating cerelac only

HR

Neuropsychiatric condition

Yes

Place of Birth

Institutional

Hospitalization

No

Tactile

PatientId

fa11e313-4f33-4de8-af27-02f394f52cd5

FollowUpId

00000000-0000-0000-0000-000000000000

Child's Name

Misty Sikarwar

Age

2 Year 7 Month 26 Days

Gender

Female

DOB

2023-09-16

Mother’s age (years)

32 years

Mother’s education

Mother’s occupation

Homemaker

Father’s age (years)

34 years

Father’s education

Father’s occupation

Government job

Type of family

Nuclear

Number of family members

4

Number of siblings

1

Details of siblings (Age and sex)

Address

Anand Nagar

Contact

9754283400

Referred By

Doctor

Informant

Parents

Chief concerns

Speech delay

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

Stimming, spinning

Patterned behavior or activities

If yes- Details

Others

Details:

Obsessed with twigs

Impression

Hopes from the consultation