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OPD : 08-Sep-2026 10:13AM Demographic Details Child's Name: Astitva Dangaur Age: 1 Year 6 Month 5 Days Gender: Male DOB: 2025-03-03 Contact: 9621210764 Interaction history: Eye contact: Sustained 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:- Answering Questions:- Social Response to Name Call Sitting tolerance- (in minutes) ADL Skills (Age-appropriate)- Academic History: Diet History: Examination a. Vitals: b. Anthropometry: Weight: 7.3 Kg Height: 76 cm Head circumference: 41 cm c. General Examination d. CNS: Higher Mental Functions Sensory Examination Cranial Nerves (1â€“12) Neuromuscular Concerns Motor delay: Gross motor and Fine motor Tone: Hypotonia Deep tendon reflexes: KJ- 2+/2+, AJ-1+/1+ Superficial reflexes: Plantars- B/l flexors Oromotor Examination Drooling: No Chewing: Improper Swallowing: Improper Blowing: Improper Sucking: Improper Examination summary: Generalised hypotonia, with microcephaly Impression: Neck holding improved, lifts head in anticipation of lifting, roll over started Advice Investigations: Sleep EEG Medications: Continue medications Follow up plan: Next month General recommendation- Zero Screen Time Physical interactive play No Junk food

OPD : 08-Sep-2026 10:13AM Demographic Details

Child's Name: Astitva Dangaur
Age: 1 Year 6 Month 5 Days
Gender: Male
DOB: 2025-03-03
Contact: 9621210764

Interaction history:

Eye contact: Sustained

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:-

Answering Questions:-

Social

Response to Name Call

Sitting tolerance- (in minutes)

ADL Skills (Age-appropriate)-

Academic History:

Diet History:

Examination

a. Vitals:

b. Anthropometry:

Weight: 7.3 Kg Height: 76 cm Head circumference: 41 cm

c. General Examination

d. CNS: Higher Mental Functions

Sensory Examination

Cranial Nerves (1â€“12)

Neuromuscular Concerns

Motor delay: Gross motor and Fine motor
Tone: Hypotonia
Deep tendon reflexes: KJ- 2+/2+, AJ-1+/1+
Superficial reflexes: Plantars- B/l flexors

Oromotor Examination

Drooling: No
Chewing: Improper
Swallowing: Improper
Blowing: Improper
Sucking: Improper

Examination summary: Generalised hypotonia, with microcephaly

Impression: Neck holding improved, lifts head in anticipation of lifting, roll over started

Advice

Investigations: Sleep EEG
Medications: Continue medications
Follow up plan: Next month
General recommendation-
1. Zero Screen Time
2. Physical interactive play
3. No Junk food

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