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

Hypersensitive

PatientId

5525e870-0703-4924-9ee2-10a1f2daf716

FollowUpId

00000000-0000-0000-0000-000000000000

Child's Name

Diyansh Rao

Age

7 Year 2 Month 21 Days

Gender

Male

DOB

2019-04-15

Mother’s age (years)

34 years

Mother’s education

Mother’s occupation

Homemaker

Father’s age (years)

35 years

Father’s education

Father’s occupation

Railways

Type of family

Joint

Number of family members

5

Number of siblings

1

Details of siblings (Age and sex)

Address

Mathura

Contact

8445788550

Referred By

Doctor

Informant

Dadi, Mama

Chief concerns

hyperactivity

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, spinning

Patterned behavior or activities

If yes- Details

Others

Details:

Impression

Hopes from the consultation