PatientInfo

Is child enrolled in school

No

Intervention plan

IDP 2/week + PMT 1/15 days

Consanguinity

Neck holding

Food preferences

Mixed

HR

Neuropsychiatric condition

Place of Birth

Hospitalization

Tactile

PatientId

2276d4d8-c31d-4794-a119-eafbcbb65769

FollowUpId

7370362e-23dd-4c6b-aa04-a9713a5c5b78

Child's Name

Divyangi baghel

Age

3 Year 2 Month 20 Days

Gender

Female

DOB

2023-02-21

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

9516687340

Referred By

Informant

Chief concerns

Duration of symptoms

Concerns noticed by school (if any)

Strengths of child

Eye contact

Fleeting

Interaction

Improved with family members

Quality of Interaction

limited

Repetitive behaviors (RRBs)

If yes- Details

Toe walking

Patterned behavior or activities

If yes- Details

Others

Details:

Object obsession reduced, hitting when angry

Impression

Hopes from the consultation