PatientInfo

Is child enrolled in school

Yes

Intervention plan

IDP 2/week + PMT1/week

Consanguinity

No

Neck holding

Achieved

Food preferences

Mixed

HR

Neuropsychiatric condition

No

Place of Birth

Institutional

Hospitalization

No

Tactile

PatientId

0c90e2db-6376-44fb-a2c9-f65097132725

FollowUpId

00000000-0000-0000-0000-000000000000

Child's Name

Hardik Rai

Age

5 Year 4 Month 4 Days

Gender

Male

DOB

2021-02-25

Mother’s age (years)

37 years

Mother’s education

Mother’s occupation

Homemaker

Father’s age (years)

38 years

Father’s education

Father’s occupation

shop

Type of family

Joint

Number of family members

8

Number of siblings

0

Details of siblings (Age and sex)

Address

Motijheel

Contact

9826534999

Referred By

Doctor

Informant

Parents

Chief concerns

Duration of symptoms

Noticed 1 year back

Concerns noticed by school (if any)

Strengths of child

Eye contact

Fleeting

Interaction

Quality of Interaction

limited

Repetitive behaviors (RRBs)

If yes- Details

Handflapping, spinning

Patterned behavior or activities

If yes- Details

Others

Details:

sniffs objects

Impression

? ASD

Hopes from the consultation