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Welcome to Otika template!
Yesterday
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Patient Details
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OPD :
02-Oct-2026 11:39AM
Demographic Details
Child's Name
:
Trisha
Age
:
1 Year
Gender
:
Female
DOB
:
2025-09-26
Contact
:
9785938323
Behavioral history:
Birth & Perinatal History:
Antenatal History
Consanguinity
:
No
Type of conception
:
Natural
High-risk factors in pregnancy:
Oligohydramnios
Others:
:
H/o febrile illness around 28 weeks
Natal and Postnatal History:
Place of Birth
:
Institutional
Mode of Delivery
:
LSCS
Indication for LSCS (if applicable)
:
Fetal distress
Gestational Age
:
28 weeks
Birth Weight
:
1.1 Kg
Cry at birth
:
Cried immediately after birth
Resuscitation required
:
No
NICU stay
:
Yes
Past history:
Investigations done-
Family history:
Developmental History:
Gross Motor
Neck holding
:
Achieved
Age of attainment
:
7 months
Roll over
:
Achieved
Age of attainment
:
7 months
Sitting without support
:
Achieved
Age of attainment
:
10 months
Standing without support
:
Not achieved
Walking without support
:
Not achieved
Fine Motor
Bidextrous grasp
:
Achieved
Age of attainment
:
7 months
Unidextrous grasp
:
Achieved
Age of attainment
:
9 months
Pincer grasp
:
Not achieved
Language
Receptive:-
Joint attention
:
Not achieved
Pointing
:
Not achieved
Understanding gestures
:
Not achieved
Following commands
:
Not following
Expressive:-
Cooing
:
Achieved
Age of attainment
:
10 months
Babbling
:
Achieved
Age of attainment
:
12 months
Meaningful words
:
Not achieved
Expressive:-
Cooing
:
Achieved
Age of attainment
:
10 months
Babbling
:
Achieved
Age of attainment
:
12 months
Meaningful words
:
Not achieved
Communication & Language Assessment
Non-Verbal Communication Grading:-
Answering Questions:-
Social
Response to Name Call
Sitting tolerance- (in minutes)
ADL Skills (Age-appropriate)-
Academic History:
Diet History:
Examination
a. Vitals:
b. Anthropometry:
c. General Examination
d. CNS:
Higher Mental Functions
Sensory Examination
Cranial Nerves (1–12)
Neuromuscular Concerns
Oromotor Examination
Advice
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