PatientInfo

Is child enrolled in school

No

Intervention plan

HBP 1/week

Consanguinity

No

Neck holding

Achieved

Food preferences

Mixed

HR

Neuropsychiatric condition

No

Place of Birth

Institutional

Hospitalization

No

Tactile

PatientId

2303cf5d-ca2f-4dd9-b889-ef99a8d124f4

FollowUpId

00000000-0000-0000-0000-000000000000

Child's Name

Tanush Shakya

Age

1 Year 11 Month 11 Days

Gender

Male

DOB

2024-07-16

Mother’s age (years)

40 years

Mother’s education

Mother’s occupation

Homemaker

Father’s age (years)

40 years

Father’s education

Father’s occupation

MPEB

Type of family

Joint

Number of family members

4

Number of siblings

1

Details of siblings (Age and sex)

6 years

Address

Sheel Nagar

Contact

9893349857

Referred By

Doctor

Informant

Mother

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

Patterned behavior or activities

If yes- Details

Others

Details:

Impression

? ASD. M chat R score- 15 (High risk)

Hopes from the consultation