PatientInfo

Is child enrolled in school

Yes

Intervention plan

IDP 1/week+ PMT 1/week

Consanguinity

No

Neck holding

Achieved

Food preferences

Mixed diet

HR

Neuropsychiatric condition

No

Place of Birth

Institutional

Hospitalization

No

Tactile

PatientId

a88f9ecd-68ec-4d7c-bf81-d5e11aafaec6

FollowUpId

e24dcb4f-3914-4690-9ef2-9adc295fe003

Child's Name

Vaarad

Age

3 Year 8 Month 18 Days

Gender

Male

DOB

2022-07-19

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

Advocate

Type of family

Joint

Number of family members

5

Number of siblings

0

Details of siblings (Age and sex)

Address

Jhansi

Contact

8009205025

Referred By

Doctor

Informant

Parents, grandmother

Chief concerns

Speech delay

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

stimmimg

Patterned behavior or activities

If yes- Details

Others

Details:

Obsession for round objects

Impression

?ASD

Hopes from the consultation