Create - Child Development Centre

Patient Details


OPD : 01-Aug-2026 04:08PM Demographic Details Child's Name: Rishabh Sharma Age: 19 Year 2 Month 4 Days Gender: Male DOB: 2007-05-28 Type of family: Nuclear Number of family members: 3 Number of siblings: 1 Details of siblings (Age and sex): 14 year old male Address: City centre Contact: 7999059410 Referred By: Doctor Informant: Mother, Mama Presenting Concerns Chief concerns: Aggressive, Poor understanding Duration of symptoms: Noticed since 6th class Strengths of child: Basic understanding+, Interaction fair Interaction history: Eye contact: Suboptimal Quality of Interaction: avoids Behavioral history: Repetitive behaviors (RRBs): Stimming, handflapping Patterned behavior or activities: Inattention Aggression Others Emotional History Details: Emotional dysregulation. Doesnt talk with people Sensory Concerns: Tactile: Hypersensitive Auditory: Fear of loud sounds Details:: Frequently washes sounds Birth & Perinatal History: Antenatal History Consanguinity: No Type of conception: Natural Natal and Postnatal History: Place of Birth: Institutional Mode of Delivery: NVD Gestational Age: FT Birth Weight: 3.5 Kg Cry at birth: Cried immediately after birth Resuscitation required: No NICU stay: No Past history: Hospitalization: Yes Seizures: No Others: At 3 year age- admitted for pnemonia Past/Current medications: Sizodon, DIVAA, Lonazep Investigations done- Hearing assessment: Not done Vision assessment: Not done Family history: Neuropsychiatric condition: No Developmental History: Gross Motor Neck holding: Achieved Age of attainment: 4 months Roll over: Achieved Age of attainment: 5 months Sitting without support: Achieved Age of attainment: 6 months Standing without support: Achieved Age of attainment: 10 months Walking without support: Achieved Age of attainment: 12 months Running: Achieved Age of attainment: Climbing upstairs: Achieved Age of attainment: Climbing downstairs: Achieved Age of attainment: Fine Motor Bidextrous grasp: Achieved Age of attainment: 4 months Unidextrous grasp: Achieved Age of attainment: 6 months Pincer grasp: Achieved Age of attainment: 12 months Scribbling: Achieved Age of attainment: Drinking from cup: Achieved Age of attainment: Buttoning / Unbuttoning: Achieved Age of attainment: Language Receptive:- Joint attention: Achieved Age of attainment: 9 months Pointing: Achieved Age of attainment: 11 months Understanding gestures: Achieved Age of attainment: Following commands: 2-step Expressive:- Cooing: Achieved Age of attainment: 4 months Babbling: Achieved Age of attainment: 6 months Meaningful words: Achieved Age of attainment: 3 years 2 word Phrases: Achieved Age of attainment: 5 years Complete sentences: Not achieved Expressive:- Cooing: Achieved Age of attainment: 4 months Babbling: Achieved Age of attainment: 6 months Meaningful words: Achieved Age of attainment: 3 years 2 word Phrases: Achieved Age of attainment: 5 years Complete sentences: Not achieved 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:- What Where Who Social Social smile: Achieved Age of attainment: 2 months Stranger anxiety: Achieved Age of attainment: 8 months Waving bye bye: Achieved Age of attainment: 9 months Comes when called: Achieved Age of attainment: Copying parents in tasks: Achieved Age of attainment: Asking for food and toilet: Achieved Age of attainment: Response to Name Call Sitting tolerance- (in minutes) ADL Skills (Age-appropriate)- Eating: 5. Independent Bathing: 5. Independent Toilet training: 5. Independent Dressing: 5. Independent Undressing: 5. Independent Type of Play : 4. Parallel Academic History: Is child enrolled in school: Yes Type of school: Special Name of School: Roshni Hours spent in school: 5 hours Location: city centre Additional information: Tuition- 1.5 hours Diet History: Food preferences: Mixed Food allergies: No Junk food intake: Occasional Sleep History Total sleep duration (night): 8 hours Afternoon nap: No Daily Screen Time Duration: < 1 hour Examination a. Vitals: b. Anthropometry: c. General Examination Dysmorphology: Ab Neurocutaneous markers: Ab d. CNS: Higher Mental Functions Sensory Examination Cranial Nerves (1–12) Neuromuscular Concerns Oromotor Examination Drooling: No Chewing: Proper Swallowing: Proper Blowing: Proper Sucking: Proper Examination summary: ID CVS examination: NAD Respiratory System examination: NAD Per abdomen examination: NAD Impression: ID Advice Intervention plan: Parents counselled Investigations: CBC, Vitamin D, Vitamin B12, Calcium, Urea Medications: Tab Rizodon 0.5mg 1 tab HS at 8 PM General recommendation- Zero Screen Time Physical interactive play No Junk food No focus on academics at present

OPD : 01-Aug-2026 04:08PM Demographic Details

Child's Name: Rishabh Sharma
Age: 19 Year 2 Month 4 Days
Gender: Male
DOB: 2007-05-28
Type of family: Nuclear
Number of family members: 3
Number of siblings: 1
Details of siblings (Age and sex): 14 year old male
Address: City centre
Contact: 7999059410
Referred By: Doctor
Informant: Mother, Mama

Presenting Concerns

Chief concerns: Aggressive, Poor understanding
Duration of symptoms: Noticed since 6th class

Strengths of child: Basic understanding+, Interaction fair

Interaction history:

Eye contact: Suboptimal
Quality of Interaction: avoids

Behavioral history:

Repetitive behaviors (RRBs): Stimming, handflapping Patterned behavior or activities: Inattention Aggression Others Emotional History Details: Emotional dysregulation. Doesnt talk with people
Sensory Concerns:

Tactile: Hypersensitive
Auditory: Fear of loud sounds

Details:: Frequently washes sounds

Birth & Perinatal History: Antenatal History

Consanguinity: No
Type of conception: Natural

Natal and Postnatal History:

Place of Birth: Institutional
Mode of Delivery: NVD
Gestational Age: FT
Birth Weight: 3.5 Kg
Cry at birth: Cried immediately after birth
Resuscitation required: No
NICU stay: No

Past history:

Hospitalization: Yes Seizures: No Others: At 3 year age- admitted for pnemonia

Past/Current medications: Sizodon, DIVAA, Lonazep Investigations done-

Hearing assessment: Not done Vision assessment: Not done

Family history:

Neuropsychiatric condition: No

Developmental History:

Gross Motor

Neck holding: Achieved

Age of attainment: 4 months
Roll over: Achieved

Age of attainment: 5 months
Sitting without support: Achieved

Age of attainment: 6 months
Standing without support: Achieved

Age of attainment: 10 months
Walking without support: Achieved

Age of attainment: 12 months
Running: Achieved

Age of attainment:
Climbing upstairs: Achieved

Age of attainment:
Climbing downstairs: Achieved

Age of attainment:

Fine Motor

Bidextrous grasp: Achieved

Age of attainment: 4 months

Unidextrous grasp: Achieved

Age of attainment: 6 months

Pincer grasp: Achieved

Age of attainment: 12 months

Scribbling: Achieved

Age of attainment:

Drinking from cup: Achieved

Age of attainment:

Buttoning / Unbuttoning: Achieved

Age of attainment:

Language

Receptive:-

Joint attention: Achieved

Age of attainment: 9 months
Pointing: Achieved

Age of attainment: 11 months
Understanding gestures: Achieved

Age of attainment:
Following commands: 2-step

Expressive:-

Cooing: Achieved

Age of attainment: 4 months

Babbling: Achieved

Age of attainment: 6 months

Meaningful words: Achieved

Age of attainment: 3 years

2 word Phrases: Achieved

Age of attainment: 5 years

Complete sentences: Not achieved

Expressive:-

Cooing: Achieved

Age of attainment: 4 months

Babbling: Achieved

Age of attainment: 6 months

Meaningful words: Achieved

Age of attainment: 3 years

2 word Phrases: Achieved

Age of attainment: 5 years

Complete sentences: Not achieved

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:-

What Where Who

Social

Social smile: Achieved

Age of attainment: 2 months
Stranger anxiety: Achieved

Age of attainment: 8 months
Waving bye bye: Achieved

Age of attainment: 9 months
Comes when called: Achieved

Age of attainment:
Copying parents in tasks: Achieved

Age of attainment:
Asking for food and toilet: Achieved

Age of attainment:

Response to Name Call

Sitting tolerance- (in minutes)

ADL Skills (Age-appropriate)-

Eating: 5. Independent
Bathing: 5. Independent
Toilet training: 5. Independent
Dressing: 5. Independent
Undressing: 5. Independent

Type of Play : 4. Parallel Academic History:

Is child enrolled in school: Yes
Type of school: Special
Name of School: Roshni
Hours spent in school: 5 hours
Location: city centre
Additional information: Tuition- 1.5 hours

Diet History:

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

Sleep History

Total sleep duration (night): 8 hours
Afternoon nap: No

Daily Screen Time

Duration: < 1 hour

Examination

a. Vitals:

b. Anthropometry:

c. General Examination

Dysmorphology: Ab Neurocutaneous markers: Ab

d. CNS: Higher Mental Functions

Sensory Examination

Cranial Nerves (1–12)

Neuromuscular Concerns

Oromotor Examination

Drooling: No
Chewing: Proper
Swallowing: Proper
Blowing: Proper
Sucking: Proper

Examination summary: ID CVS examination: NAD
Respiratory System examination: NAD
Per abdomen examination: NAD

Impression: ID

Advice

Intervention plan: Parents counselled
Investigations: CBC, Vitamin D, Vitamin B12, Calcium, Urea
Medications: Tab Rizodon 0.5mg 1 tab HS at 8 PM
General recommendation-
1. Zero Screen Time
2. Physical interactive play
3. No Junk food
4. No focus on academics at present

Setting Panel

Select Layout

Light Dark

Sidebar Color

Color Theme

Mini Sidebar

Sticky Header

Patient Details print

Select Layout

Sidebar Color

Color Theme

Patient Details