PatientInfo

Is child enrolled in school

No

Intervention plan

IDP 2/week + PMT 1/week

Consanguinity

No

Neck holding

Achieved

Food preferences

Mixed

HR

Neuropsychiatric condition

Yes

Place of Birth

Institutional

Hospitalization

No

Tactile

PatientId

870215ec-9d39-458f-8741-2b9eee7a0ad5

FollowUpId

00000000-0000-0000-0000-000000000000

Child's Name

Denish Singh

Age

1 Year 11 Month 8 Days

Gender

Male

DOB

2024-07-25

Mother’s age (years)

37 years

Mother’s education

Mother’s occupation

Homemaker

Father’s age (years)

38 years

Father’s education

Father’s occupation

Bank

Type of family

Nuclear

Number of family members

Number of siblings

Details of siblings (Age and sex)

Address

Guna

Contact

8981591600

Referred By

Doctor

Informant

Parents

Chief concerns

Speech delay

Duration of symptoms

Concerns noticed by school (if any)

Strengths of child

Eye contact

Fleeting

Interaction

Quality of Interaction

limited

Repetitive behaviors (RRBs)

If yes- Details

stimming, running to and fro

Patterned behavior or activities

If yes- Details

Others

Details:

Mouthing of towel

Impression

?ASD. M chat- 17

Hopes from the consultation