PatientInfo

Is child enrolled in school

No

Intervention plan

IDP 2/week + PMT 1/week

Consanguinity

No

Neck holding

Achieved

Food preferences

Mixed. Bottlefeeding+

HR

Neuropsychiatric condition

No

Place of Birth

Institutional

Hospitalization

Yes

Tactile

PatientId

02d73a1b-0450-4fa1-9ae9-eda1e918f936

FollowUpId

31efe348-2fd3-4341-919c-5784e2d47452

Child's Name

Advick Tomar

Age

3 Year 2 Month 5 Days

Gender

Male

DOB

2023-07-03

Mother’s age (years)

32 years

Mother’s education

Mother’s occupation

Homemaker

Father’s age (years)

35 years

Father’s education

Father’s occupation

UP Police

Type of family

Joint

Number of family members

4

Number of siblings

0

Details of siblings (Age and sex)

Address

Hazira

Contact

7566155579

Referred By

Doctor

Informant

Parents

Chief concerns

Speech delay

Duration of symptoms

Concerns noticed by school (if any)

Strengths of child

Eye contact

Sustained

Interaction

Quality of Interaction

age-appropriate

Repetitive behaviors (RRBs)

If yes- Details

Patterned behavior or activities

If yes- Details

arranges toys in que

Others

Details:

Impression

? ASD. (Interaction is good but patterned)

Hopes from the consultation