PatientInfo

Is child enrolled in school

Yes

Intervention plan

IDP 2/week, PMT 1/week

Consanguinity

No

Neck holding

Achieved

Food preferences

Picky eater, Craving for sweets

HR

Neuropsychiatric condition

No

Place of Birth

Institutional

Hospitalization

No

Tactile

PatientId

137ec867-b026-4f5d-bbde-8b031cc10491

FollowUpId

00000000-0000-0000-0000-000000000000

Child's Name

Hanu Pathak

Age

3 Year 3 Month 15 Days

Gender

Male

DOB

2022-11-22

Mother’s age (years)

38 years

Mother’s education

Mother’s occupation

Homemaker

Father’s age (years)

38 years

Father’s education

Father’s occupation

Service

Type of family

Nuclear

Number of family members

4

Number of siblings

1

Details of siblings (Age and sex)

1- 10 year old male

Address

Gole ka mandir

Contact

8770351340

Referred By

Doctor

Informant

Chief concerns

Speech delay

Duration of symptoms

Noticed since 1 month

Concerns noticed by school (if any)

Strengths of child

Eye contact

Fleeting

Interaction

Better with parents

Quality of Interaction

limited

Repetitive behaviors (RRBs)

If yes- Details

Hand flapping, spinning

Patterned behavior or activities

If yes- Details

Others

Details:

Constipation

Impression

Hopes from the consultation