PatientInfo

Is child enrolled in school

Yes

Intervention plan

Consanguinity

No

Neck holding

Achieved

Food preferences

Mixed

HR

Neuropsychiatric condition

No

Place of Birth

Institutional

Hospitalization

Yes

Tactile

PatientId

b521be9a-8bb0-4191-b2f3-cbf509b9fcdb

FollowUpId

00000000-0000-0000-0000-000000000000

Child's Name

Samridhi chourasiya

Age

8 Year 8 Month 14 Days

Gender

Female

DOB

2017-09-05

Mother’s age (years)

35 years

Mother’s education

Mother’s occupation

homemaker

Father’s age (years)

38 years

Father’s education

Father’s occupation

own medical

Type of family

Joint

Number of family members

2

Number of siblings

0

Details of siblings (Age and sex)

Address

Bara, Kota

Contact

8278629738

Referred By

Doctor

Informant

Mother

Chief concerns

Hand flapping, irrelevant laughing

Duration of symptoms

Noticed since 4 years of age

Concerns noticed by school (if any)

Strengths of child

Eye contact

Fleeting

Interaction

Quality of Interaction

limited

Repetitive behaviors (RRBs)

If yes- Details

Handflapping

Patterned behavior or activities

If yes- Details

Others

Details:

Impression

ASD

Hopes from the consultation