PatientInfo

Is child enrolled in school

No

Intervention plan

IDP 2/week + PMT 1/week

Consanguinity

Neck holding

Food preferences

Mixed. Bottlefeeding present

HR

Neuropsychiatric condition

Place of Birth

Hospitalization

Tactile

Hypersensitive

PatientId

5004b029-b717-4ddb-8cd7-18e7e702076f

FollowUpId

00000000-0000-0000-0000-000000000000

Child's Name

Daivik Rajak

Age

2 Year 7 Month 21 Days

Gender

Male

DOB

2023-12-20

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

7415466015

Referred By

Informant

Chief concerns

Duration of symptoms

Concerns noticed by school (if any)

Strengths of child

Eye contact

Poor

Interaction

Improved with mother

Quality of Interaction

Repetitive behaviors (RRBs)

If yes- Details

Spinning, running to and fro

Patterned behavior or activities

If yes- Details

Others

Details:

Reduced.

Impression

Improvements in eye contact, interaction, response to name call

Hopes from the consultation