PatientInfo

Is child enrolled in school

Yes

Intervention plan

Home strategies adviced

Consanguinity

No

Neck holding

Achieved

Food preferences

Mixed

HR

Neuropsychiatric condition

No

Place of Birth

Institutional

Hospitalization

Yes

Tactile

PatientId

5a48b95c-35da-47ff-92f8-1d4ef7348f85

FollowUpId

00000000-0000-0000-0000-000000000000

Child's Name

Jyotirmaan Singh Bhadauriya

Age

6 Year 9 Month 21 Days

Gender

Male

DOB

2019-08-13

Mother’s age (years)

38 years

Mother’s education

Mother’s occupation

Homemaker

Father’s age (years)

42 years

Father’s education

Father’s occupation

BSNL

Type of family

Joint

Number of family members

6

Number of siblings

1

Details of siblings (Age and sex)

4.5 year female

Address

City centre

Contact

9425801191

Referred By

Informant

Parents

Chief concerns

Duration of symptoms

Noticed since 3.5 years

Concerns noticed by school (if any)

Strengths of child

Eye contact

Sustained

Interaction

Quality of Interaction

limited

Repetitive behaviors (RRBs)

If yes- Details

Patterned behavior or activities

If yes- Details

Others

Details:

screaming when irritated

Impression

ASD

Hopes from the consultation