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

No

Tactile

PatientId

cea0e460-3e54-402b-a434-361dd76a6604

FollowUpId

f2d98b32-6bd2-41e9-bec2-982dfe0ebfdc

Child's Name

Aditya Prakash

Age

7 Year 8 Month 0 Days

Gender

Male

DOB

2018-11-14

Mother’s age (years)

34 years

Mother’s education

Mother’s occupation

Homemaker

Father’s age (years)

36 years

Father’s education

Father’s occupation

SBI

Type of family

Nuclear

Number of family members

3

Number of siblings

0

Details of siblings (Age and sex)

Address

Contact

7903091295

Referred By

Informant

Parents

Chief concerns

Poor attention, expressive language

Duration of symptoms

Noticed at 2 years age

Concerns noticed by school (if any)

Strengths of child

Eye contact

Fleeting

Interaction

Interaction better with known people

Quality of Interaction

limited

Repetitive behaviors (RRBs)

If yes- Details

jumping, toe walking

Patterned behavior or activities

If yes- Details

Others

Details:

Impression

? ASD

Hopes from the consultation