PatientInfo

Is child enrolled in school

Yes

Intervention plan

IDP

Consanguinity

No

Neck holding

Achieved

Food preferences

Mixed

HR

Neuropsychiatric condition

Yes

Place of Birth

Institutional

Hospitalization

No

Tactile

PatientId

575c8cc4-f3ac-4fb9-b490-80080e486600

FollowUpId

00000000-0000-0000-0000-000000000000

Child's Name

Tarush Agrawal

Age

9 Year

Gender

Male

DOB

2017-09-24

Mother’s age (years)

36 years

Mother’s education

Mother’s occupation

Homemaker

Father’s age (years)

37 years

Father’s education

Father’s occupation

Business

Type of family

Joint

Number of family members

12

Number of siblings

1

Details of siblings (Age and sex)

Twin

Address

Jayendraganj

Contact

9611074871

Referred By

Doctor

Informant

Father, uncle

Chief concerns

Behavioral concern

Duration of symptoms

Noticed since early infancy

Concerns noticed by school (if any)

Strengths of child

Eye contact

Suboptimal

Interaction

Quality of Interaction

Repetitive behaviors (RRBs)

If yes- Details

Patterned behavior or activities

If yes- Details

Others

Details:

Gets bored easily with one toy.

Impression

Behavioral concerns, ADHD owing to extreme prematurity

Hopes from the consultation