PatientInfo

Is child enrolled in school

Intervention plan

IDP 2/week + PMT 1/week

Consanguinity

Neck holding

Food preferences

Doesnt eats fruits

HR

Neuropsychiatric condition

Place of Birth

Hospitalization

Tactile

PatientId

8567524e-809d-44af-b87a-662f07391186

FollowUpId

00000000-0000-0000-0000-000000000000

Child's Name

Avnish yadav

Age

3 Year

Gender

Male

DOB

2023-02-12

Mother’s age (years)

Mother’s education

Mother’s occupation

Father’s age (years)

Father’s education

Father’s occupation

Type of family

Number of family members

Number of siblings

Details of siblings (Age and sex)

Address

Contact

6260518537

Referred By

Informant

Chief concerns

Duration of symptoms

Concerns noticed by school (if any)

Strengths of child

Eye contact

Fleeting

Interaction

Better than before (with parents)

Quality of Interaction

limited

Repetitive behaviors (RRBs)

If yes- Details

Spinning, stimming - reduced

Patterned behavior or activities

If yes- Details

Others

Details:

Object obsession reduced

Impression

Hopes from the consultation