Demographic Details

• Child's Name: Aatharv Bansal
• Age: 3 Year 7 Month 7 Days
• Gender: Male
• DOB: 2022-08-14
• Mother’s age (years): 36 years
• Mother’s occupation: Homemaker
• Father’s age (years): 36 years
• Father’s occupation: Asst Engineer (Guna)
• Type of family: Joint
• Number of family members: 4
• Number of siblings: 0
• Address: Sabalgarh
• Contact: 9893106998
• Referred By: Doctor

Presenting Concerns

• Duration of symptoms: At 1.5 years realized speech delay and hyperactivity

Strengths of child: Doesnt eat food, behavioral issues

Interaction history:

• Eye contact: Fleeting
• Quality of Interaction: limited

Behavioral history: Birth & Perinatal History: Antenatal History

• Consanguinity: No
• Type of conception: Natural

Natal and Postnatal History:

• Place of Birth: Institutional
• Mode of Delivery: LSCS
• Indication for LSCS (if applicable): Oligohydramnios
• Gestational Age: FT
• Birth Weight: 3.4 Kg
• Cry at birth: Cried immediately after birth
• Resuscitation required: No
• NICU stay: No

Past history: Family history: Developmental History: Type of Play : 2. Isolated Details:: Doesnt prefers to go to garden Academic History:

• Is child enrolled in school: Yes
• Type of school: Regular
• Name of School: Hello Kids
• Grade: Playgroup
• Hours spent in school: 1 hour
• Location: Gandhinagar
• Additional information: Went for 1.5 hours

Diet History:

• Food preferences: Doesnt eats solid foods
• Food allergies: Yes
• Junk food intake: No

Sleep History

• Total sleep duration (night): 8 hours
• Afternoon nap: Yes
• Duration of Afternoon nap: 1 hour

Daily Screen Time

• Duration: Zero

Examination
Impression: ASD

Advice