PatientInfo

Is child enrolled in school

No

Intervention plan

IDP 1/week + LDP 1/week + PMT 1/week

Consanguinity

Neck holding

Food preferences

Mixed

HR

Neuropsychiatric condition

Place of Birth

Hospitalization

Tactile

PatientId

2130618e-def7-442f-93ff-8cc4eba39a44

FollowUpId

14d1b2ad-89cf-4497-8f28-a7b45a730230

Child's Name

Shivansh Prajapati

Age

2 Year 10 Month 10 Days

Gender

Male

DOB

2023-08-31

Mother’s age (years)

Mother’s education

Mother’s occupation

Father’s age (years)

Father’s education

Father’s occupation

Type of family

Number of family members

Number of siblings

Details of siblings (Age and sex)

Address

Contact

8085388346

Referred By

Informant

Chief concerns

Duration of symptoms

Concerns noticed by school (if any)

Strengths of child

Eye contact

Suboptimal

Interaction

Improved interaction with children

Quality of Interaction

limited

Repetitive behaviors (RRBs)

If yes- Details

RRBS reduced

Patterned behavior or activities

If yes- Details

Others

Details:

Impression

Hopes from the consultation