PatientInfo

Is child enrolled in school

No

Intervention plan

IDP 2/week + PMT 1/week

Consanguinity

No

Neck holding

Achieved

Food preferences

Mixed

HR

Neuropsychiatric condition

No

Place of Birth

Institutional

Hospitalization

No

Tactile

PatientId

06629c7c-e771-4ded-b359-0c645dd254c0

FollowUpId

00000000-0000-0000-0000-000000000000

Child's Name

Aniruddh Singh Gurjar

Age

3 Year 7 Month 16 Days

Gender

Male

DOB

2023-01-02

Mother’s age (years)

25 years

Mother’s education

Mother’s occupation

Homemarker

Father’s age (years)

31 years

Father’s education

Father’s occupation

HDFC Bank

Type of family

Joint

Number of family members

7

Number of siblings

0

Details of siblings (Age and sex)

Address

Darpan Colony

Contact

8959465787

Referred By

Doctor

Informant

Parents

Chief concerns

Delayed speech, isolated plays

Duration of symptoms

Concerns noticed by school (if any)

Strengths of child

Eye contact

Fleeting

Interaction

Quality of Interaction

limited

Repetitive behaviors (RRBs)

If yes- Details

Jumping, stimming, running to and fro

Patterned behavior or activities

If yes- Details

Others

Details:

Impression

? ASD

Hopes from the consultation