PatientInfo

Is child enrolled in school

Yes

Intervention plan

Consanguinity

No

Neck holding

Achieved

Food preferences

Mixed

HR

Neuropsychiatric condition

No

Place of Birth

Institutional

Hospitalization

Yes

Tactile

PatientId

1d36ccff-5b0a-497e-a01d-cd3268a10700

FollowUpId

00000000-0000-0000-0000-000000000000

Child's Name

Nitya Sharma

Age

8 Year 2 Month 10 Days

Gender

Female

DOB

2018-02-20

Mother’s age (years)

33 years

Mother’s education

Mother’s occupation

Homemaker

Father’s age (years)

35 years

Father’s education

Father’s occupation

Govt teacher

Type of family

Joint

Number of family members

7

Number of siblings

2

Details of siblings (Age and sex)

1- 10 year female, 2-5 years male

Address

Morena

Contact

8770818397

Referred By

Doctor

Informant

Parents

Chief concerns

Understanding not as per age

Duration of symptoms

realized delayed milestones since 2 years age

Concerns noticed by school (if any)

Strengths of child

Eye contact

Sustained

Interaction

Doesnt understand how to approach

Quality of Interaction

Repetitive behaviors (RRBs)

If yes- Details

Patterned behavior or activities

If yes- Details

Others

Details:

Impression

? ID . ASD features

Hopes from the consultation