PatientInfo

Is child enrolled in school

No

Intervention plan

Home Based Program

Consanguinity

No

Neck holding

Achieved

Food preferences

Eats food in puree form

HR

Neuropsychiatric condition

No

Place of Birth

Institutional

Hospitalization

Yes

Tactile

Hypersensitive

PatientId

d446269e-1673-4beb-817f-68db14a846e4

FollowUpId

f59fea14-a812-45cd-8858-efd181fd2e18

Child's Name

Atharv Tiwari

Age

2 Year 4 Month 7 Days

Gender

Male

DOB

2024-02-09

Mother’s age (years)

27 years

Mother’s education

Mother’s occupation

Housewife

Father’s age (years)

32 years

Father’s education

Father’s occupation

Aditya Birla

Type of family

Joint

Number of family members

4

Number of siblings

Details of siblings (Age and sex)

Address

Jhansi

Contact

8851105753

Referred By

Doctor

Informant

Parents

Chief concerns

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

Patterned behavior or activities

If yes- Details

Lines up object, running to and fro, spinning

Others

Details:

Throwing objects, keeps food in mouth

Impression

ASD

Hopes from the consultation