PatientInfo

Is child enrolled in school

No

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

4d5aaa41-af6e-439c-ba16-162a418760e1

FollowUpId

00000000-0000-0000-0000-000000000000

Child's Name

Daksh Sharma

Age

3 Year 3 Month 4 Days

Gender

Male

DOB

2023-05-14

Mother’s age (years)

32 years

Mother’s education

Mother’s occupation

Homemaker

Father’s age (years)

35 years

Father’s education

Father’s occupation

Private job

Type of family

Joint

Number of family members

5

Number of siblings

9

Details of siblings (Age and sex)

Address

D D Nagar

Contact

9039995572

Referred By

Doctor

Informant

Parents

Chief concerns

Speech delay, behavioral concerns

Duration of symptoms

Concerns noticed by school (if any)

Strengths of child

Eye contact

Sustained

Interaction

Quality of Interaction

age-appropriate

Repetitive behaviors (RRBs)

If yes- Details

running to and fro

Patterned behavior or activities

If yes- Details

Others

Details:

Impression

Expressive language delay, Difficulty in emotional regulation

Hopes from the consultation