PatientInfo

Is child enrolled in school

Yes

Intervention plan

IDP 1/week + PMT 1/week

Consanguinity

No

Neck holding

Achieved

Food preferences

Picky eater (doesnt eat fruits)

HR

Neuropsychiatric condition

No

Place of Birth

Institutional

Hospitalization

No

Tactile

PatientId

836c889e-c7c6-460c-9585-cec6b7507d9f

FollowUpId

00000000-0000-0000-0000-000000000000

Child's Name

Vinayak Khandelwal

Age

3 Year 5 Month 4 Days

Gender

Male

DOB

2022-11-23

Mother’s age (years)

41 years

Mother’s education

Mother’s occupation

Runs boutique

Father’s age (years)

50 years

Father’s education

Father’s occupation

Pvt job

Type of family

Nuclear

Number of family members

4

Number of siblings

1

Details of siblings (Age and sex)

17 year old male

Address

Bade

Contact

9993696369

Referred By

Doctor

Informant

Parents

Chief concerns

Doesnt mingle with people, speech delay

Duration of symptoms

Since infancy

Concerns noticed by school (if any)

Strengths of child

Eye contact

Fleeting

Interaction

Quality of Interaction

limited

Repetitive behaviors (RRBs)

If yes- Details

Running to and fro

Patterned behavior or activities

If yes- Details

Others

Details:

Pica, spitting

Impression

?ASD

Hopes from the consultation