PatientInfo

Is child enrolled in school

No

Intervention plan

IDP 1/week + PMT 1/week

Consanguinity

No

Neck holding

Achieved

Food preferences

Mixed

HR

Neuropsychiatric condition

No

Place of Birth

Institutional

Hospitalization

No

Tactile

PatientId

42921b41-4406-45b8-bc61-ab829ae238c4

FollowUpId

00000000-0000-0000-0000-000000000000

Child's Name

Divyanshi Rajput

Age

3 Year 6 Month 23 Days

Gender

Female

DOB

2022-12-29

Mother’s age (years)

22 years

Mother’s education

Mother’s occupation

Homemaker

Father’s age (years)

31 years

Father’s education

Father’s occupation

Farming

Type of family

Joint

Number of family members

7

Number of siblings

0

Details of siblings (Age and sex)

Address

Jhansi

Contact

6394517213

Referred By

Healthcare worker

Informant

Father, Grandmother

Chief concerns

Speech Delay

Duration of symptoms

Concerns noticed by school (if any)

Strengths of child

Eye contact

Suboptimal

Interaction

Quality of Interaction

limited

Repetitive behaviors (RRBs)

If yes- Details

spinning

Patterned behavior or activities

If yes- Details

Others

Details:

Pica. Looks from corner of eyes.

Impression

? ASD

Hopes from the consultation