PatientInfo

Is child enrolled in school

No

Intervention plan

IDP 2/week + PMT 1/week

Consanguinity

No

Neck holding

Achieved

Food preferences

Mixed

HR

Neuropsychiatric condition

No

Place of Birth

Institutional

Hospitalization

No

Tactile

Hypersensitive

PatientId

22545296-9489-49a9-bed6-f0309e1a5f6e

FollowUpId

97290d7c-6066-442f-b10f-949a209336c5

Child's Name

Harshita Khanna

Age

3 Year 5 Month 24 Days

Gender

Female

DOB

2023-01-08

Mother’s age (years)

25 years

Mother’s education

Mother’s occupation

Homemaker

Father’s age (years)

26 years

Father’s education

Father’s occupation

Private job

Type of family

Joint

Number of family members

7

Number of siblings

0

Details of siblings (Age and sex)

Address

D D Nagar

Contact

9713619751

Referred By

Doctor

Informant

Mother

Chief concerns

Speech delay

Duration of symptoms

since 6 months

Concerns noticed by school (if any)

Strengths of child

Eye contact

Sustained

Interaction

Quality of Interaction

age-appropriate

Repetitive behaviors (RRBs)

If yes- Details

spinning

Patterned behavior or activities

If yes- Details

Others

Details:

Head banging

Impression

Hopes from the consultation