PatientInfo

Is child enrolled in school

Yes

Intervention plan

IDP 1/week + PMT 1/week

Consanguinity

No

Neck holding

Achieved

Food preferences

Picky eater

HR

Neuropsychiatric condition

No

Place of Birth

Institutional

Hospitalization

No

Tactile

Hyposensitive

PatientId

78ff8dc0-1f6c-4ba2-955b-344d3aed012b

FollowUpId

ef769963-c318-42d9-a586-2cf47e4ab4cd

Child's Name

Kayrav Prajapati

Age

5 Year 11 Month 28 Days

Gender

Male

DOB

2020-04-28

Mother’s age (years)

Deceased

Mother’s education

Mother’s occupation

Father’s age (years)

Father’s education

Father’s occupation

Type of family

Joint

Number of family members

3

Number of siblings

0

Details of siblings (Age and sex)

Address

Thatipur

Contact

6232635251

Referred By

Doctor

Informant

Nani

Chief concerns

Doesnt respond to name call consistently

Duration of symptoms

Concerns noticed by school (if any)

Strengths of child

Need based communication (verbally)

Eye contact

Fleeting

Interaction

Quality of Interaction

limited

Repetitive behaviors (RRBs)

If yes- Details

Hand flapping, spinning

Patterned behavior or activities

If yes- Details

Others

Details:

Obsessed with cars and fans, spins the wheels

Impression

?ASD

Hopes from the consultation