PatientInfo

Is child enrolled in school

Yes

Intervention plan

IDP 2/week + PMt 1/week

Consanguinity

No

Neck holding

Achieved

Food preferences

Avoids foods which are hard

HR

Neuropsychiatric condition

No

Place of Birth

Institutional

Hospitalization

No

Tactile

PatientId

250a00c6-9e6a-40db-8eed-ca86fe4508aa

FollowUpId

00000000-0000-0000-0000-000000000000

Child's Name

Yashika yadav

Age

4 Year 10 Month 12 Days

Gender

Female

DOB

2021-06-24

Mother’s age (years)

31 years

Mother’s education

Mother’s occupation

Homemaker

Father’s age (years)

31 years

Father’s education

Father’s occupation

Pediatrician

Type of family

Joint

Number of family members

4

Number of siblings

1

Details of siblings (Age and sex)

1- 12 mon male

Address

Morar

Contact

8770876931

Referred By

Doctor

Informant

Chief concerns

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

Stimming

Patterned behavior or activities

If yes- Details

Others

Details:

Obsessed with puzzles

Impression

ASD

Hopes from the consultation