PatientInfo

Is child enrolled in school

No

Intervention plan

IDP 2/week + PMT 1/week

Consanguinity

No

Neck holding

Achieved

Food preferences

Prefers mashed food

HR

Neuropsychiatric condition

No

Place of Birth

Institutional

Hospitalization

No

Tactile

PatientId

29eb1e91-42b0-4773-a52f-ecb7844a9fa1

FollowUpId

00000000-0000-0000-0000-000000000000

Child's Name

Advick Tiwari

Age

2 Year 1 Month 9 Days

Gender

Male

DOB

2024-09-19

Mother’s age (years)

30 years

Mother’s education

Mother’s occupation

Homemaker

Father’s age (years)

36 years

Father’s education

Father’s occupation

Air force

Type of family

Nuclear

Number of family members

4

Number of siblings

1

Details of siblings (Age and sex)

7 year old female

Address

Maharajpura

Contact

9304119412

Referred By

Doctor

Informant

Parents

Chief concerns

Speech delay, response to name call poor

Duration of symptoms

Concerns noticed by school (if any)

Strengths of child

Eye contact

Poor

Interaction

Quality of Interaction

limited

Repetitive behaviors (RRBs)

If yes- Details

Handflapping, spinning , toe walking, running to and fro

Patterned behavior or activities

If yes- Details

Others

Details:

Impression

? ASD. M chat R score- 13 (High risk)

Hopes from the consultation