PatientInfo

Is child enrolled in school

No

Intervention plan

IDP 2/week + PMT 1/week

Consanguinity

No

Neck holding

Achieved

Food preferences

Picky eater

HR

Neuropsychiatric condition

No

Place of Birth

Institutional

Hospitalization

Yes

Tactile

Hypersensitive

PatientId

26a9e933-8865-41c9-b6aa-5615bf6050fd

FollowUpId

00000000-0000-0000-0000-000000000000

Child's Name

Manav Mishra

Age

3 Year 8 Month 21 Days

Gender

Male

DOB

2022-11-01

Mother’s age (years)

34 years

Mother’s education

Mother’s occupation

Homemaker

Father’s age (years)

38 years

Father’s education

Father’s occupation

Business

Type of family

Joint

Number of family members

9

Number of siblings

1

Details of siblings (Age and sex)

7 year male

Address

Pinto Park

Contact

7247283180

Referred By

Doctor

Informant

Parents

Chief concerns

Duration of symptoms

Concerns noticed by school (if any)

Strengths of child

Eye contact

Suboptimal

Interaction

Quality of Interaction

avoids

Repetitive behaviors (RRBs)

If yes- Details

Handflapping, toe walking

Patterned behavior or activities

If yes- Details

Others

Details:

Sniffs objects/people. Obsession for red clothes

Impression

? ASD

Hopes from the consultation