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OPD : 15-Jun-2026 10:25AM Demographic Details Child's Name: Nikhil Kehrvar Age: 9 Year 8 Month 5 Days Gender: Male DOB: 2016-08-25 Contact: 8964958682 Current Improvements: Started doing ADLs independently, understanding improved Current concerns: Nail biting, doesnt want to go out for playing Investigations done: MRI Brain- normal. Hb- 13.2 TLC- 13.2, PC-1.4, S Vit D- WNL Interaction history: Eye contact: Suboptimal Interaction: Avoids interaction due to low self esteem Quality of Interaction: avoids Behavioral history: Birth & Perinatal History: Antenatal History Natal and Postnatal History: Past history: Investigations done- Family history: Developmental History: Gross Motor Fine Motor Language Expressive:- Communication & Language Assessment Non-Verbal Communication Grading:- Need-based communication: Consistent Drag for needs: Consistent Joint attention: Consistent Pointing: Consistent meaningful pointing Understanding gestures: Consistent Following commands (gesture + verbal): 1-step Answering Questions:- Social Response to Name Call Sitting tolerance- (in minutes) ADL Skills (Age-appropriate)- Eating: 5. Independent Bathing: 5. Independent Toilet training: 4. Needs minimal assistance Dressing: 3. Needs significant assistance Undressing: 3. Needs significant assistance Type of Play : 4. Parallel Academic History: Is child enrolled in school: Yes Type of school: Regular Name of School: Rachna Public school Grade: 1 Hours spent in school: 4 hours Location: Datia Diet History: Food preferences: Mixed Food allergies: No Junk food intake: Ocacsional Sleep History Total sleep duration (night): 10 hours Afternoon nap: Yes Duration of Afternoon nap: No Daily Screen Time Duration: < 2 hours Type of screen: TV Examination a. Vitals: b. Anthropometry: Weight: 22 Kg Height: 127 cm Head circumference: 50 cm c. General Examination d. CNS: Higher Mental Functions Sensory Examination Cranial Nerves (1â€“12) Neuromuscular Concerns Oromotor Examination Impression: Improvement in understanding after home strategies Advice Intervention plan: To be decided after evaluation Evaluation: IQ/DQ Medications: Syp Cos3 5 ml OD. Syp Multivitamin A to z 5 ml OD General recommendation- Zero Screen Time Physical interactive play No Junk food

OPD : 15-Jun-2026 10:25AM Demographic Details

Child's Name: Nikhil Kehrvar
Age: 9 Year 8 Month 5 Days
Gender: Male
DOB: 2016-08-25
Contact: 8964958682
Current Improvements: Started doing ADLs independently, understanding improved
Current concerns: Nail biting, doesnt want to go out for playing
Investigations done: MRI Brain- normal. Hb- 13.2 TLC- 13.2, PC-1.4, S Vit D- WNL

Interaction history:

Eye contact: Suboptimal
Interaction: Avoids interaction due to low self esteem
Quality of Interaction: avoids

Behavioral history:

Birth & Perinatal History: Antenatal History

Natal and Postnatal History:

Past history:

Investigations done-

Family history:

Developmental History:

Gross Motor

Fine Motor

Language

Expressive:-

Communication & Language Assessment

Non-Verbal Communication Grading:-

Need-based communication: Consistent
Drag for needs: Consistent
Joint attention: Consistent
Pointing: Consistent meaningful pointing
Understanding gestures: Consistent
Following commands (gesture + verbal): 1-step

Answering Questions:-

Social

Response to Name Call

Sitting tolerance- (in minutes)

ADL Skills (Age-appropriate)-

Eating: 5. Independent
Bathing: 5. Independent
Toilet training: 4. Needs minimal assistance
Dressing: 3. Needs significant assistance
Undressing: 3. Needs significant assistance

Type of Play : 4. Parallel Academic History:

Is child enrolled in school: Yes
Type of school: Regular
Name of School: Rachna Public school
Grade: 1
Hours spent in school: 4 hours
Location: Datia

Diet History:

Food preferences: Mixed
Food allergies: No
Junk food intake: Ocacsional

Sleep History

Total sleep duration (night): 10 hours
Afternoon nap: Yes
Duration of Afternoon nap: No

Daily Screen Time

Duration: < 2 hours
Type of screen: TV

Examination

a. Vitals:

b. Anthropometry:

Weight: 22 Kg Height: 127 cm Head circumference: 50 cm

c. General Examination

d. CNS: Higher Mental Functions

Sensory Examination

Cranial Nerves (1â€“12)

Neuromuscular Concerns

Oromotor Examination

Impression: Improvement in understanding after home strategies

Advice

Intervention plan: To be decided after evaluation
Evaluation: IQ/DQ
Medications: Syp Cos3 5 ml OD. Syp Multivitamin A to z 5 ml OD
General recommendation-
1. Zero Screen Time
2. Physical interactive play
3. No Junk food

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