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

No

Tactile

Hyposensitive

PatientId

83270f1d-a170-437a-90ac-8c68472f77ac

FollowUpId

5f0fd95c-d8b8-469f-bc5d-0134b79b9689

Child's Name

Aradhya Pal

Age

3 Year

Gender

Female

DOB

2023-04-20

Mother’s age (years)

27 years

Mother’s education

Mother’s occupation

Homemaker

Father’s age (years)

27 years

Father’s education

Father’s occupation

Compounder

Type of family

Joint

Number of family members

8

Number of siblings

1

Details of siblings (Age and sex)

9 months female

Address

Morar

Contact

8770829334

Referred By

Doctor

Informant

Parents

Chief concerns

Poor response to name call

Duration of symptoms

Concerns noticed by school (if any)

Strengths of child

Eye contact

Poor

Interaction

Quality of Interaction

limited

Repetitive behaviors (RRBs)

If yes- Details

Patterned behavior or activities

If yes- Details

Others

Details:

Impression

ASD. M chat R- 16 (High risk)

Hopes from the consultation