PatientInfo

Is child enrolled in school

Intervention plan

IDP 2/week + PMT 1/week

Consanguinity

No

Neck holding

Achieved

Food preferences

HR

Neuropsychiatric condition

No

Place of Birth

Institutional

Hospitalization

Yes

Tactile

Hypersensitive

PatientId

50c9b4d0-c065-4cfe-9abd-16b76895b16e

FollowUpId

00000000-0000-0000-0000-000000000000

Child's Name

Agastaya Shrivastav

Age

2 Year 6 Month 8 Days

Gender

Male

DOB

2023-03-24

Mother’s age (years)

33 years

Mother’s education

Mother’s occupation

Teacher

Father’s age (years)

36 years

Father’s education

Father’s occupation

Banking

Type of family

Joint

Number of family members

5

Number of siblings

0

Details of siblings (Age and sex)

Address

Alkapuri

Contact

8964914560

Referred By

Doctor

Informant

Parents, grandparents

Chief concerns

Poor response to name call

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

Spinni ng, climbing stairs up and down

Patterned behavior or activities

If yes- Details

Others

Details:

screaming. stares at objects

Impression

? ASD

Hopes from the consultation