PatientInfo

Is child enrolled in school

No

Intervention plan

HBP or Hybrid

Consanguinity

No

Neck holding

Achieved

Food preferences

Mixed

HR

Neuropsychiatric condition

No

Place of Birth

Institutional

Hospitalization

No

Tactile

PatientId

58537599-4b86-4f6f-8585-4670e91fc0b0

FollowUpId

00000000-0000-0000-0000-000000000000

Child's Name

Harshvardhan Singh

Age

2 Year 4 Month 30 Days

Gender

Male

DOB

2024-04-16

Mother’s age (years)

35 years

Mother’s education

Mother’s occupation

Govt job

Father’s age (years)

41 years

Father’s education

Father’s occupation

LIC agent

Type of family

Nuclear

Number of family members

Number of siblings

1

Details of siblings (Age and sex)

11 year old male

Address

Sabalgarh

Contact

9584713141

Referred By

Doctor

Informant

Parents

Chief concerns

Speech delay

Duration of symptoms

Concerns noticed by school (if any)

Strengths of child

Eye contact

Fleeting

Interaction

Quality of Interaction

Repetitive behaviors (RRBs)

If yes- Details

Patterned behavior or activities

If yes- Details

Others

Details:

Head banging, arranges objects in line

Impression

? ASD. M chat- 16 (High risk)

Hopes from the consultation