PatientInfo

Is child enrolled in school

No

Intervention plan

IDP 2/week + PMT 1/week.

Consanguinity

No

Neck holding

Achieved

Food preferences

Mixed diet

HR

Neuropsychiatric condition

No

Place of Birth

Institutional

Hospitalization

No

Tactile

PatientId

b0e76cb9-6850-40be-8028-5da86a196195

FollowUpId

00000000-0000-0000-0000-000000000000

Child's Name

Darsh Meena

Age

1 Year 9 Month 9 Days

Gender

Male

DOB

2024-08-21

Mother’s age (years)

27 years

Mother’s education

Mother’s occupation

Homemaker

Father’s age (years)

33 years

Father’s education

Father’s occupation

Railways

Type of family

Joint

Number of family members

4

Number of siblings

1

Details of siblings (Age and sex)

Twin

Address

Ashok Vihar

Contact

9694949133

Referred By

Doctor

Informant

Parents

Chief concerns

Poor response to name call

Duration of symptoms

Noticed few months back

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, spinning, stimming

Patterned behavior or activities

If yes- Details

Others

Details:

Impression

ASD. M chat R score- 12 (High risk)

Hopes from the consultation