PatientInfo

Is child enrolled in school

No

Intervention plan

IDP 1/week + PMT 1/week

Consanguinity

Neck holding

Food preferences

Mioxed

HR

Neuropsychiatric condition

Place of Birth

Hospitalization

Tactile

PatientId

4f9c06c2-3c36-4a43-858b-0957782f6d4e

FollowUpId

00000000-0000-0000-0000-000000000000

Child's Name

Shivansh sahu

Age

2 Year 9 Month 2 Days

Gender

Male

DOB

2023-11-22

Mother’s age (years)

Mother’s education

Mother’s occupation

Father’s age (years)

Father’s education

Father’s occupation

Type of family

Number of family members

Number of siblings

Details of siblings (Age and sex)

Address

Contact

8819080812

Referred By

Informant

Chief concerns

Duration of symptoms

Concerns noticed by school (if any)

Strengths of child

Eye contact

Suboptimal

Interaction

Quality of Interaction

avoids

Repetitive behaviors (RRBs)

If yes- Details

Spinning reduced

Patterned behavior or activities

If yes- Details

Others

Details:

Hyperactivity, inattention reduced

Impression

Hopes from the consultation