PatientInfo

Is child enrolled in school

Yes

Intervention plan

IDP 2/week +PMT 1/week

Consanguinity

No

Neck holding

Achieved

Food preferences

Mixed

HR

Neuropsychiatric condition

No

Place of Birth

Institutional

Hospitalization

Yes

Tactile

PatientId

1eb0022c-3bf3-4104-91b9-ebc882b65a11

FollowUpId

00000000-0000-0000-0000-000000000000

Child's Name

Rudra Pratap Singh

Age

5 Year 1 Month 26 Days

Gender

Male

DOB

2021-04-07

Mother’s age (years)

38 years

Mother’s education

Mother’s occupation

Homemaker

Father’s age (years)

40 years

Father’s education

Father’s occupation

Bank

Type of family

Joint

Number of family members

4

Number of siblings

1

Details of siblings (Age and sex)

9 year old female

Address

Sikandar Kampoo

Contact

7987174700

Referred By

Doctor

Informant

Mother

Chief concerns

Speech delay, object obsession

Duration of symptoms

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