PatientInfo

Is child enrolled in school

No

Intervention plan

IDP2/week + PMT 1/week

Consanguinity

Neck holding

Food preferences

Mixed diet. Bottlefeeding

HR

Neuropsychiatric condition

Place of Birth

Hospitalization

Tactile

PatientId

b0e76cb9-6850-40be-8028-5da86a196195

FollowUpId

2443f48c-09fd-45dc-83f9-7d17daeb115c

Child's Name

Darsh Meena

Age

1 Year 9 Month 9 Days

Gender

Male

DOB

2024-08-21

Mother’s age (years)

Mother’s education

Mother’s occupation

Father’s age (years)

Father’s education

Father’s occupation

Type of family

Number of family members

Number of siblings

Details of siblings (Age and sex)

Address

Contact

9694949133

Referred By

Informant

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

Handflapping reduced

Patterned behavior or activities

If yes- Details

Others

Details:

Temper tantrums reduced

Impression

Hopes from the consultation