PatientInfo

Is child enrolled in school

No

Intervention plan

IDP 1/week + PMT 1/week

Consanguinity

Yes

Neck holding

Achieved

Food preferences

Picky allergy

HR

Neuropsychiatric condition

Yes

Place of Birth

Institutional

Hospitalization

No

Tactile

PatientId

37021bd8-dd03-40b8-92b7-867f7767d087

FollowUpId

00000000-0000-0000-0000-000000000000

Child's Name

Anas Khan

Age

2 Year 9 Month 20 Days

Gender

Male

DOB

2023-06-27

Mother’s age (years)

23 years

Mother’s education

Mother’s occupation

Homemaker

Father’s age (years)

25 years

Father’s education

Father’s occupation

Private job

Type of family

Joint

Number of family members

7

Number of siblings

1

Details of siblings (Age and sex)

1.5 years old male

Address

Sabalgarh

Contact

9886309099

Referred By

Doctor

Informant

Parents

Chief concerns

Poor response to name call

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

Patterned behavior or activities

If yes- Details

Others

Details:

Impression

?ASD

Hopes from the consultation