PatientInfo

Is child enrolled in school

No

Intervention plan

IDP 1/15 days + PMT 1/week (Hybrid)

Consanguinity

Neck holding

Food preferences

Mixed

HR

Neuropsychiatric condition

Place of Birth

Hospitalization

Tactile

PatientId

42921b41-4406-45b8-bc61-ab829ae238c4

FollowUpId

fed8af85-f881-4fdc-acc3-b14af27bca2f

Child's Name

Divyanshi Rajput

Age

3 Year 7 Month 26 Days

Gender

Female

DOB

2022-12-29

Mother’s age (years)

Mother’s education

Mother’s occupation

Father’s age (years)

Father’s education

Father’s occupation

Type of family

Number of family members

Number of siblings

Details of siblings (Age and sex)

Address

Contact

6394517213

Referred By

Informant

Chief concerns

Duration of symptoms

Concerns noticed by school (if any)

Strengths of child

Eye contact

Suboptimal

Interaction

Quality of Interaction

limited

Repetitive behaviors (RRBs)

If yes- Details

spinning reduced

Patterned behavior or activities

If yes- Details

Others

Details:

Reduced

Impression

Hopes from the consultation