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

Yes

Tactile

PatientId

f3f0bd28-956a-4c16-9017-df5161c0d6cf

FollowUpId

abd4bbb4-43a2-4a2b-9b48-9825d902a12f

Child's Name

Daniya sainya

Age

4 Year 8 Month 18 Days

Gender

Female

DOB

2021-09-21

Mother’s age (years)

27 years

Mother’s education

Mother’s occupation

Homemaker

Father’s age (years)

35 years

Father’s education

Father’s occupation

Events company

Type of family

Nuclear

Number of family members

9

Number of siblings

1

Details of siblings (Age and sex)

1 year female

Address

Lashkar

Contact

9617961539

Referred By

Doctor

Informant

Parents

Chief concerns

Speech delay

Duration of symptoms

Concerns noticed by school (if any)

Strengths of child

Eye contact

Poor

Interaction

Quality of Interaction

limited

Repetitive behaviors (RRBs)

If yes- Details

Stimmimg running to and fro

Patterned behavior or activities

If yes- Details

Others

Details:

Arranges in line

Impression

?ASD

Hopes from the consultation