PatientInfo

Is child enrolled in school

No

Intervention plan

IDP 1/week + PMT 1/week

Consanguinity

No

Neck holding

Achieved

Food preferences

Picky eater. Bottlefeeding. Sweet craving.

HR

Neuropsychiatric condition

No

Place of Birth

Institutional

Hospitalization

No

Tactile

PatientId

4f9c06c2-3c36-4a43-858b-0957782f6d4e

FollowUpId

00000000-0000-0000-0000-000000000000

Child's Name

Shivansh sahu

Age

2 Year 8 Month 2 Days

Gender

Male

DOB

2023-11-22

Mother’s age (years)

30 years

Mother’s education

Mother’s occupation

Homemaker

Father’s age (years)

31 years

Father’s education

Father’s occupation

Business

Type of family

Joint

Number of family members

6

Number of siblings

0

Details of siblings (Age and sex)

Address

Bhander

Contact

8819080812

Referred By

Doctor

Informant

Parents

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

spinning, running to and fro

Patterned behavior or activities

If yes- Details

Others

Details:

Obsessed for vehicle toys. Arranges cars in toys. Tongue walking.

Impression

? ASD. Mchat 11

Hopes from the consultation