PatientInfo

Is child enrolled in school

No

Intervention plan

Home Based Program

Consanguinity

No

Neck holding

Achieved

Food preferences

Mixed

HR

Neuropsychiatric condition

No

Place of Birth

Institutional

Hospitalization

No

Tactile

Hypersensitive

PatientId

bc5475fc-79c9-4889-9eda-efa3a949d3f0

FollowUpId

00000000-0000-0000-0000-000000000000

Child's Name

Yuvraj Shivhare

Age

4 Year 8 Month 8 Days

Gender

Male

DOB

2021-12-03

Mother’s age (years)

32 years

Mother’s education

Mother’s occupation

Homemaker

Father’s age (years)

36 years

Father’s education

Father’s occupation

Business

Type of family

Nuclear

Number of family members

4

Number of siblings

1

Details of siblings (Age and sex)

7 years female

Address

Chhatarpur

Contact

8827223238

Referred By

Doctor

Informant

Parents

Chief concerns

Hyperactivity, self absorbed

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

Handflapping, stimming, jumping, looking from normal eyes

Patterned behavior or activities

If yes- Details

Others

Details:

Arranges objects in line, hitting

Impression

Hopes from the consultation