PatientInfo

Is child enrolled in school

No

Intervention plan

Consanguinity

No

Neck holding

Achieved

Food preferences

Mixed

HR

Neuropsychiatric condition

No

Place of Birth

Institutional

Hospitalization

No

Tactile

PatientId

0c636b31-614a-42ce-b4cc-0b4cf41ee2fc

FollowUpId

8453ebe8-77de-4783-a7e7-de81fea96d47

Child's Name

Arnav yadav

Age

5 Year 9 Month 12 Days

Gender

Male

DOB

2020-12-24

Mother’s age (years)

31 years

Mother’s education

Mother’s occupation

Homemaker

Father’s age (years)

35 years

Father’s education

Father’s occupation

Govt job

Type of family

Joint

Number of family members

10

Number of siblings

1

Details of siblings (Age and sex)

3 year old male

Address

Nai sadak

Contact

9993491990

Referred By

Doctor

Informant

Parents

Chief concerns

Duration of symptoms

Concerns noticed by school (if any)

Strengths of child

Eye contact

Interaction

Quality of Interaction

Repetitive behaviors (RRBs)

If yes- Details

Patterned behavior or activities

If yes- Details

Others

Details:

Impression

Hopes from the consultation