PatientInfo

Is child enrolled in school

Yes

Intervention plan

Consanguinity

No

Neck holding

Achieved

Food preferences

Mixed

HR

Neuropsychiatric condition

No

Place of Birth

Institutional

Hospitalization

Yes

Tactile

Hypersensitive

PatientId

802c94af-985c-4e91-b88a-5474a63abb81

FollowUpId

00000000-0000-0000-0000-000000000000

Child's Name

Manas Bhadoriya

Age

4 Year

Gender

Male

DOB

2022-06-07

Mother’s age (years)

35 years

Mother’s education

Mother’s occupation

Homemaker

Father’s age (years)

36 years

Father’s education

Father’s occupation

MP Police

Type of family

Joint

Number of family members

6

Number of siblings

Details of siblings (Age and sex)

Address

yadav dharmkanta

Contact

9340674913

Referred By

Doctor

Informant

Mother

Chief concerns

Speech delay

Duration of symptoms

Concerns noticed by school (if any)

Strengths of child

Eye contact

Sustained

Interaction

Quality of Interaction

age-appropriate

Repetitive behaviors (RRBs)

If yes- Details

stimming, spinning

Patterned behavior or activities

If yes- Details

Others

Details:

sniffs everything

Impression

? Expressive language delay.

Hopes from the consultation