PatientInfo

Is child enrolled in school

Yes

Intervention plan

IDP 2/week + PMT 1/week

Consanguinity

Yes

Neck holding

Achieved

Food preferences

Mixed

HR

Neuropsychiatric condition

No

Place of Birth

Institutional

Hospitalization

Yes

Tactile

Hypersensitive

PatientId

c79c0282-5738-48c7-97f9-7cb10ad8eb6f

FollowUpId

00000000-0000-0000-0000-000000000000

Child's Name

Mohammad Taqi

Age

4 Year 5 Month 23 Days

Gender

Male

DOB

2022-01-28

Mother’s age (years)

35 years

Mother’s education

Mother’s occupation

Homemaker

Father’s age (years)

37 years

Father’s education

Father’s occupation

Private job

Type of family

Joint

Number of family members

11

Number of siblings

2

Details of siblings (Age and sex)

10 yr male, 2.5 yr female

Address

Kila gate

Contact

8305673582

Referred By

Doctor

Informant

Mother

Chief concerns

Speech delay

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

Hand flapping, spinning, jumpin, running to and fro

Patterned behavior or activities

If yes- Details

Others

Details:

Obsession with sticks

Impression

? ASD

Hopes from the consultation