Details

PatientInfo


Is child enrolled in school
No
Intervention plan
PMT 1/week
Consanguinity
No
Neck holding
Achieved
Food preferences
Mixed
HR
Neuropsychiatric condition
No
Place of Birth
Institutional
Hospitalization
Yes
Tactile
Hypersensitive
PatientId
2cb1f32c-a1f2-4682-8e21-07fe91cf0b79
FollowUpId
00000000-0000-0000-0000-000000000000
Child's Name
Krishna sukla
Age
22 Year 5 Month 26 Days
Gender
Male
DOB
2003-10-14
Mother’s age (years)
48 years
Mother’s education
Mother’s occupation
Homemaker
Father’s age (years)
54 years
Father’s education
Father’s occupation
In share market
Type of family
Joint
Number of family members
2
Number of siblings
1
Details of siblings (Age and sex)
15 year male
Address
Thatipur
Contact
9202137924
Referred By
Doctor
Informant
Mother
Chief concerns
Dependent in ADLs, Social delay
Duration of symptoms
Realized concerns at 2.5 years. Consulted mutiple doctors
Concerns noticed by school (if any)
Strengths of child
Eye contact
Fleeting
Interaction
Quality of Interaction
limited
Repetitive behaviors (RRBs)
If yes- Details
Running to and fro, jumping
Patterned behavior or activities
If yes- Details
Others
Details:
Hitting, Head banging
Impression
ASD
Hopes from the consultation

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