Details
PatientInfo
- Is child enrolled in school
- Yes
- Intervention plan
- IDP 1/week + PMT 1/week
- Consanguinity
- No
- Neck holding
- Achieved
- Food preferences
- Picky eater
- HR
- Neuropsychiatric condition
- Yes
- Place of Birth
- Institutional
- Hospitalization
- No
- Tactile
- PatientId
- 96475abe-5780-4263-8a98-719711f15cf9
- FollowUpId
- 00000000-0000-0000-0000-000000000000
- Child's Name
- Jayendra Tomar
- Age
- 11 Year 7 Month 4 Days
- Gender
- Male
- DOB
- 2014-08-09
- 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
- Type of family
- Joint
- Number of family members
- 9
- Number of siblings
- 1
- Details of siblings (Age and sex)
- 1-5 years age
- Address
- Pinto Park
- Contact
- 9131577068
- Referred By
- Doctor
- Informant
- Paternal uncle, Grandmother
- Chief concerns
- Poor age appropriate understanding
- Duration of symptoms
- Realized speech delay at 3 years age, consulted neurologist and RML. Were told child has autism.
- Concerns noticed by school (if any)
- Strengths of child
- Eye contact
- Suboptimal
- Interaction
- Quality of Interaction
- avoids
- Repetitive behaviors (RRBs)
- If yes- Details
- Hand flapping when unengaged
- Patterned behavior or activities
- If yes- Details
- Others
- Details:
- Constipation
- Impression
- Hopes from the consultation