PatientInfo

Is child enrolled in school

No

Intervention plan

IDP 1/week + PMT 1/week

Consanguinity

No

Neck holding

Achieved

Food preferences

Mixed

HR

Neuropsychiatric condition

No

Place of Birth

Institutional

Hospitalization

No

Tactile

PatientId

f9e1b9b6-ecd6-4984-a26a-f88d7b622941

FollowUpId

00000000-0000-0000-0000-000000000000

Child's Name

Anirudh Ahirwar

Age

2 Year 2 Month 28 Days

Gender

Male

DOB

2024-05-28

Mother’s age (years)

22 years

Mother’s education

Mother’s occupation

Homemaker

Father’s age (years)

25 years

Father’s education

Father’s occupation

Private job

Type of family

Joint

Number of family members

5

Number of siblings

0

Details of siblings (Age and sex)

Address

Tikamgarh

Contact

6267874781

Referred By

Doctor

Informant

Parents

Chief concerns

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

spinning, toe walking

Patterned behavior or activities

If yes- Details

Others

Details:

Impression

? ASD. M chat- 13 (High risk)

Hopes from the consultation