Details

PatientInfo


Is child enrolled in school
No
Intervention plan
IDP 2/week + PMT 1/week
Consanguinity
No
Neck holding
Achieved
Food preferences
Picky eater. Sugar cravings
HR
Neuropsychiatric condition
No
Place of Birth
Institutional
Hospitalization
No
Tactile
PatientId
f0b0bf3f-d9b7-44fb-a0df-4237585ef621
FollowUpId
04fb6f8e-b2c1-4db6-932c-4f9fb9622973
Child's Name
Jiyanshi Rathore
Age
2 Year 8 Month 16 Days
Gender
Female
DOB
2023-09-26
Mother’s age (years)
32 years
Mother’s education
Mother’s occupation
Homemaker
Father’s age (years)
38 years
Father’s education
Father’s occupation
Advocate
Type of family
Joint
Number of family members
17
Number of siblings
0
Details of siblings (Age and sex)
Address
shivpuri
Contact
9826670996
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
Handflapping, spinning, tapping face
Patterned behavior or activities
If yes- Details
Others
Details:
Hitting, throwing objects
Impression
ASD
Hopes from the consultation

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