PatientInfo

Is child enrolled in school

No

Intervention plan

IDP 2/week + PMT 1/week

Consanguinity

No

Neck holding

Achieved

Food preferences

Picky eating

HR

Neuropsychiatric condition

No

Place of Birth

Institutional

Hospitalization

No

Tactile

PatientId

ead7ac4a-10ef-455e-bbb8-67a72649c77b

FollowUpId

00000000-0000-0000-0000-000000000000

Child's Name

Atharva

Age

1 Year 6 Month 28 Days

Gender

Male

DOB

2025-02-18

Mother’s age (years)

26 years

Mother’s education

Mother’s occupation

Homemaker

Father’s age (years)

28 years

Father’s education

Father’s occupation

Air force

Type of family

Joint

Number of family members

2

Number of siblings

0

Details of siblings (Age and sex)

Address

Pinto Park

Contact

8905207365

Referred By

Doctor

Informant

Mother

Chief concerns

Poor response to name call

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

Running to and fro, spinning

Patterned behavior or activities

If yes- Details

Others

Details:

Head banging

Impression

M chat -13. ? ASD

Hopes from the consultation