PatientInfo

Is child enrolled in school

No

Intervention plan

IDP 2/week + PMT 1/week

Consanguinity

No

Neck holding

Achieved

Food preferences

Mixed. On bottlefeeding

HR

Neuropsychiatric condition

No

Place of Birth

Institutional

Hospitalization

Yes

Tactile

PatientId

5cfbe456-f189-4676-aeba-d6edd0b477b9

FollowUpId

8ebff024-b53e-417c-b202-bde9c0c7aba8

Child's Name

Aryan Rajak

Age

3 Year 10 Month 26 Days

Gender

Male

DOB

2022-07-29

Mother’s age (years)

30 years

Mother’s education

Mother’s occupation

Homemaker

Father’s age (years)

38 years

Father’s education

Father’s occupation

Business

Type of family

Nuclear

Number of family members

4

Number of siblings

1

Details of siblings (Age and sex)

7 year old male

Address

Contact

9754478548

Referred By

Doctor

Informant

Parents

Chief concerns

speech delay

Duration of symptoms

After 1 year age

Concerns noticed by school (if any)

Strengths of child

Eye contact

Fleeting

Interaction

Quality of Interaction

limited

Repetitive behaviors (RRBs)

If yes- Details

Patterned behavior or activities

If yes- Details

Others

Details:

Impression

? ASD

Hopes from the consultation