Details

PatientInfo


Is child enrolled in school
No
Intervention plan
Home Based Program
Consanguinity
No
Neck holding
Achieved
Food preferences
Mixed
HR
Neuropsychiatric condition
No
Place of Birth
Institutional
Hospitalization
Yes
Tactile
Hyposensitive
PatientId
25994854-52cc-4ead-b95e-d07588af54a1
FollowUpId
00000000-0000-0000-0000-000000000000
Child's Name
shiva Sharma
Age
2 Year 7 Month 6 Days
Gender
Male
DOB
2024-03-01
Mother’s age (years)
32 years
Mother’s education
Mother’s occupation
Homemaker
Father’s age (years)
38 years
Father’s education
Father’s occupation
works in Private college
Type of family
Joint
Number of family members
9
Number of siblings
0
Details of siblings (Age and sex)
Address
Kailaras
Contact
8223808877
Referred By
Doctor
Informant
Parents
Chief concerns
Hyperactivity, stay isolated
Duration of symptoms
Concerns noticed by school (if any)
Strengths of child
Eye contact
Poor
Interaction
Quality of Interaction
limited
Repetitive behaviors (RRBs)
If yes- Details
Spinning, hand flapping, running to and fro, /toe walking, stimming
Patterned behavior or activities
If yes- Details
Others
Details:
Impression
M chat r score- 16 (High risk). ASD
Hopes from the consultation

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