PatientInfo

Is child enrolled in school

No

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

758b9c0c-4bcb-4253-a6d5-c77bf8e72440

FollowUpId

00000000-0000-0000-0000-000000000000

Child's Name

Daivik Baghel

Age

4 Year 11 Month 26 Days

Gender

Male

DOB

2021-07-12

Mother’s age (years)

29 years

Mother’s education

Mother’s occupation

Homemaker

Father’s age (years)

31 years

Father’s education

Father’s occupation

Private job

Type of family

Joint

Number of family members

7

Number of siblings

1

Details of siblings (Age and sex)

1.5 m male

Address

Gole ka mandir

Contact

9074645419

Referred By

Doctor

Informant

Father, Grandmother

Chief concerns

Hyperactivity

Duration of symptoms

Noticed at 3 years age

Concerns noticed by school (if any)

Strengths of child

Eye contact

Suboptimal

Interaction

Quality of Interaction

limited

Repetitive behaviors (RRBs)

If yes- Details

Patterned behavior or activities

If yes- Details

Others

Details:

screams

Impression

? Poor self regulation

Hopes from the consultation