PatientInfo

Is child enrolled in school

No

Intervention plan

IDP 1/week + LDP 1/week + PMT1/15 days

Consanguinity

Neck holding

Food preferences

Mixed

HR

Neuropsychiatric condition

Place of Birth

Hospitalization

Tactile

PatientId

dc673462-a2ee-4824-9f98-99a86fdaf6f3

FollowUpId

492cc504-e1f5-4d73-9c50-2022decfb206

Child's Name

Rudransh Nagar

Age

2 Year 11 Month 0 Days

Gender

Male

DOB

2023-09-18

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

7999144258

Referred By

Informant

Chief concerns

Duration of symptoms

Concerns noticed by school (if any)

Strengths of child

Eye contact

Suboptimal

Interaction

Improved with known people

Quality of Interaction

limited

Repetitive behaviors (RRBs)

If yes- Details

Jumping

Patterned behavior or activities

If yes- Details

Others

Details:

Impression

Hopes from the consultation