PatientInfo

Is child enrolled in school

No

Intervention plan

Consanguinity

No

Neck holding

Achieved

Food preferences

HR

Neuropsychiatric condition

Place of Birth

Institutional

Hospitalization

No

Tactile

PatientId

148295c1-386d-416f-ad08-f304bc79f291

FollowUpId

00000000-0000-0000-0000-000000000000

Child's Name

Navit Noor

Age

4 Year 10 Month 29 Days

Gender

Male

DOB

2021-05-20

Mother’s age (years)

-

Mother’s education

Mother’s occupation

Father’s age (years)

Father’s education

Father’s occupation

Type of family

Joint

Number of family members

Number of siblings

Details of siblings (Age and sex)

Address

Contact

7999644694

Referred By

Doctor

Informant

Paternal aunt (bua)

Chief concerns

Hyperactivity, Poor understanding, speech delay

Duration of symptoms

Since birth

Concerns noticed by school (if any)

Strengths of child

Eye contact

Fleeting

Interaction

Wants to play with children, approaches them

Quality of Interaction

limited

Repetitive behaviors (RRBs)

If yes- Details

Stimmimg, staring at light

Patterned behavior or activities

If yes- Details

Others

Details:

Pulls his hairs, searches for objects, throws everything

Impression

GDD

Hopes from the consultation