PatientInfo

Is child enrolled in school

No

Intervention plan

Consanguinity

No

Neck holding

Achieved

Food preferences

Mixed

HR

Neuropsychiatric condition

No

Place of Birth

Institutional

Hospitalization

No

Tactile

Hyposensitive

PatientId

38ae565a-1943-49e6-aec4-4c1b8a69a91f

FollowUpId

00000000-0000-0000-0000-000000000000

Child's Name

Yuvans Sharma

Age

5 Year

Gender

Male

DOB

2021-06-24

Mother’s age (years)

36 years

Mother’s education

Mother’s occupation

Homemaker

Father’s age (years)

41 years

Father’s education

Father’s occupation

Sales

Type of family

Nuclear

Number of family members

4

Number of siblings

1

Details of siblings (Age and sex)

12 years female

Address

Delhi

Contact

8799733386

Referred By

Doctor

Informant

Parents

Chief concerns

Behavioral 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

Hand flapping

Patterned behavior or activities

If yes- Details

Others

Details:

Impression

social communcation delay

Hopes from the consultation