Details

PatientInfo


Is child enrolled in school
Yes
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
48aff5e0-4e03-4218-9f19-fe771f648f24
FollowUpId
00000000-0000-0000-0000-000000000000
Child's Name
Abhyudaya
Age
4 Year 10 Month 3 Days
Gender
Male
DOB
2021-11-07
Mother’s age (years)
Mother’s education
Mother’s occupation
Father’s age (years)
Father’s education
Father’s occupation
Type of family
Nuclear
Number of family members
5
Number of siblings
2
Details of siblings (Age and sex)
1-18 year old female, 2-12 year old female
Address
Maharajpura
Contact
8148779237
Referred By
Doctor
Informant
Parents
Chief concerns
Speech delay, doesnt initiate
Duration of symptoms
Since early childhood
Concerns noticed by school (if any)
Strengths of child
Eye contact
Suboptimal
Interaction
Quality of Interaction
limited
Repetitive behaviors (RRBs)
If yes- Details
Patterned behavior or activities
If yes- Details
Others
Details:
Hitting. arranges things in que. (Planets)
Impression
ASD
Hopes from the consultation

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