PatientInfo

Is child enrolled in school

Yes

Intervention plan

IDP 2/week + PMT 1/week

Consanguinity

No

Neck holding

Achieved

Food preferences

Mixed

HR

Neuropsychiatric condition

Place of Birth

Institutional

Hospitalization

No

Tactile

PatientId

78930466-ac47-4331-8ee5-86e6318de06a

FollowUpId

00000000-0000-0000-0000-000000000000

Child's Name

Samarth Saraswat

Age

4 Year 4 Month 20 Days

Gender

Male

DOB

2022-01-17

Mother’s age (years)

32 years

Mother’s education

Mother’s occupation

Homemaker

Father’s age (years)

32 years

Father’s education

Father’s occupation

Sports consultant

Type of family

Joint

Number of family members

5

Number of siblings

1

Details of siblings (Age and sex)

8 year old female

Address

Vinay nagar

Contact

8085244668

Referred By

Doctor

Informant

Parents

Chief concerns

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