PatientInfo

Is child enrolled in school

No

Intervention plan

Consanguinity

No

Neck holding

Achieved

Food preferences

Mixed

HR

Neuropsychiatric condition

No

Place of Birth

Institutional

Hospitalization

No

Tactile

PatientId

f913eca4-e08d-43e5-8692-b3f72a565686

FollowUpId

00000000-0000-0000-0000-000000000000

Child's Name

Madhav Yadav

Age

2 Year 8 Month 7 Days

Gender

Male

DOB

2023-09-07

Mother’s age (years)

36 years

Mother’s education

Mother’s occupation

Homemaker

Father’s age (years)

39 years

Father’s education

Father’s occupation

Govt teacher

Type of family

Joint

Number of family members

6

Number of siblings

1

Details of siblings (Age and sex)

6.5 year old female

Address

Itawa

Contact

9479693599

Referred By

Doctor

Informant

Parents

Chief concerns

Hyperactivity

Duration of symptoms

Concerns noticed by school (if any)

Strengths of child

Eye contact

Suboptimal

Interaction

Quality of Interaction

age-appropriate

Repetitive behaviors (RRBs)

If yes- Details

Patterned behavior or activities

If yes- Details

Others

Details:

Keeps toys in line

Impression

M chat R score- 1 (Low risk)

Hopes from the consultation