PatientInfo

Is child enrolled in school

Yes

Intervention plan

IDP 1/week + PMT 1/week

Consanguinity

No

Neck holding

Achieved

Food preferences

HR

Neuropsychiatric condition

No

Place of Birth

Institutional

Hospitalization

No

Tactile

PatientId

f7487004-2894-47c8-91a2-a23bb920c7d6

FollowUpId

00000000-0000-0000-0000-000000000000

Child's Name

Dhairyansh Sahu

Age

4 Year 3 Month 26 Days

Gender

Male

DOB

2021-12-16

Mother’s age (years)

30 years

Mother’s education

Mother’s occupation

Homemaker

Father’s age (years)

35 years

Father’s education

Father’s occupation

works in Pharma company

Type of family

Nuclear

Number of family members

3

Number of siblings

0

Details of siblings (Age and sex)

Address

Bangalore

Contact

6266502428

Referred By

Doctor

Informant

Mother, mama

Chief concerns

No initiation of speech

Duration of symptoms

Concerns noticed by school (if any)

Strengths of child

Eye contact

Fleeting

Interaction

Better with parents

Quality of Interaction

Repetitive behaviors (RRBs)

If yes- Details

Patterned behavior or activities

If yes- Details

Others

Details:

arranges thing in line

Impression

Social communication delay

Hopes from the consultation