PatientInfo

Is child enrolled in school

No

Intervention plan

IDP 3/week + PMT 1/week

Consanguinity

No

Neck holding

Achieved

Food preferences

Mixed

HR

Neuropsychiatric condition

No

Place of Birth

Institutional

Hospitalization

No

Tactile

PatientId

ed94098c-f242-4086-9096-a450421bb936

FollowUpId

00000000-0000-0000-0000-000000000000

Child's Name

Shiva Tomar

Age

4 Year 9 Month 18 Days

Gender

Male

DOB

2021-07-17

Mother’s age (years)

32 years

Mother’s education

Mother’s occupation

Homemaker

Father’s age (years)

32 years

Father’s education

Father’s occupation

Indian Navy

Type of family

Joint

Number of family members

9

Number of siblings

0

Details of siblings (Age and sex)

Address

Shatabdipuram

Contact

7489177440

Referred By

Doctor

Informant

Mother, cousin

Chief concerns

Speech delay

Duration of symptoms

Realized regression of speech after 1.5 yr

Concerns noticed by school (if any)

Strengths of child

Eye contact

Suboptimal

Interaction

Quality of Interaction

limited

Repetitive behaviors (RRBs)

If yes- Details

Arratoys in linenges

Patterned behavior or activities

If yes- Details

Others

Details:

Obsession with Elephant toy

Impression

Hopes from the consultation