PatientInfo

Is child enrolled in school

No

Intervention plan

IDP 2/week + PMT 1/week

Consanguinity

No

Neck holding

Achieved

Food preferences

Mixed. Bottlefeeding.

HR

Neuropsychiatric condition

No

Place of Birth

Institutional

Hospitalization

Yes

Tactile

Hypersensitive

PatientId

5004b029-b717-4ddb-8cd7-18e7e702076f

FollowUpId

00000000-0000-0000-0000-000000000000

Child's Name

Daivik Rajak

Age

2 Year 7 Month 21 Days

Gender

Male

DOB

2023-12-20

Mother’s age (years)

30 years

Mother’s education

Mother’s occupation

Homemaker

Father’s age (years)

30 years

Father’s education

Father’s occupation

Govt job

Type of family

Joint

Number of family members

5

Number of siblings

0

Details of siblings (Age and sex)

Address

Jawahar colony

Contact

7415466015

Referred By

Doctor

Informant

Mother, uncle

Chief concerns

Irritability, speech delay

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:

arranges toys in line

Impression

M chat R score- 9 (High risk)

Hopes from the consultation