PatientInfo

Is child enrolled in school

No

Intervention plan

IDP 1/weeK + PMT 1/week

Consanguinity

No

Neck holding

Achieved

Food preferences

Picky eater (doesnt eat fruits)

HR

Neuropsychiatric condition

No

Place of Birth

Institutional

Hospitalization

Yes

Tactile

Hypersensitive

PatientId

f5723cfb-a6fc-429a-bb2e-c7cc5a56abdd

FollowUpId

00000000-0000-0000-0000-000000000000

Child's Name

Anirudh Dhakad

Age

3 Year 8 Month 1 Days

Gender

Male

DOB

2022-08-12

Mother’s age (years)

29 years

Mother’s education

Mother’s occupation

Homemaker

Father’s age (years)

30 years

Father’s education

Father’s occupation

Govt employee

Type of family

Nuclear

Number of family members

4

Number of siblings

1

Details of siblings (Age and sex)

2 year old female

Address

Kolaras

Contact

7987225679

Referred By

Doctor

Informant

Parents

Chief concerns

Speech delay, doesnt follow command

Duration of symptoms

Concerns noticed by school (if any)

Strengths of child

Eye contact

Fleeting

Interaction

Quality of Interaction

Repetitive behaviors (RRBs)

If yes- Details

Handflapping, spinning

Patterned behavior or activities

If yes- Details

Others

Details:

Impression

? ASD

Hopes from the consultation