PatientInfo

Is child enrolled in school

No

Intervention plan

Home Based Program

Consanguinity

No

Neck holding

Achieved

Food preferences

Mixed

HR

Neuropsychiatric condition

Yes

Place of Birth

Institutional

Hospitalization

No

Tactile

Hypersensitive

PatientId

06f87e24-768f-4dbb-8003-ccdbc5ef77e9

FollowUpId

5129291e-ee32-4f4c-9aeb-f8df3686415e

Child's Name

Yashashwi

Age

2 Year 8 Month 24 Days

Gender

Female

DOB

2023-11-15

Mother’s age (years)

29 years

Mother’s education

Mother’s occupation

Homemaker

Father’s age (years)

34 years

Father’s education

Father’s occupation

MPEB

Type of family

Nuclear

Number of family members

3

Number of siblings

0

Details of siblings (Age and sex)

Address

shivpuri

Contact

8319217027

Referred By

Doctor

Informant

Parents

Chief concerns

Duration of symptoms

Concerns noticed by school (if any)

Strengths of child

Eye contact

Poor

Interaction

Quality of Interaction

limited

Repetitive behaviors (RRBs)

If yes- Details

Watchingfrom corner of eye

Patterned behavior or activities

If yes- Details

Others

Details:

Impression

M chat R score- 13 (High risk) ? ASD

Hopes from the consultation