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OPD : 18-Aug-2026 03:54PM Demographic Details Child's Name: Aniruddh Singh Gurjar Age: 3 Year 7 Month 16 Days Gender: Male DOB: 2023-01-02 Mother’s age (years): 25 years Mother’s occupation: Homemarker Father’s age (years): 31 years Father’s occupation: HDFC Bank Type of family: Joint Number of family members: 7 Number of siblings: 0 Address: Darpan Colony Contact: 8959465787 Referred By: Doctor Informant: Parents Presenting Concerns Chief concerns: Delayed speech, isolated plays Interaction history: Eye contact: Fleeting Quality of Interaction: limited Behavioral history: Repetitive behaviors (RRBs): Jumping, stimming, running to and fro Patterned behavior or activities: Hyperactivity Inattention Object obsession Sensory Concerns: Auditory: Hypersensitive Proprioception: Seeks pressure Vestibular: Seeks movement Details:: Closes ears Birth & Perinatal History: Antenatal History Consanguinity: No Type of conception: Natural Natal and Postnatal History: Place of Birth: Institutional Mode of Delivery: LSCS Indication for LSCS (if applicable): Not known Gestational Age: FT Birth Weight: 2.7 Kg Cry at birth: Cried immediately after birth Resuscitation required: No NICU stay: Yes If yes- Duration & Indication: At age 12 days admitted for sepsis for 1 day Past history: Hospitalization: No Seizures: No Past/Current therapies: Nil Past/Current medications: Nil 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: 7 months Standing without support: Achieved Age of attainment: 9 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: Language Receptive:- Joint attention: Achieved Age of attainment: Delayed Pointing: Achieved Age of attainment: Delayed Understanding gestures: Achieved Age of attainment: Following commands: 1-step Expressive:- Cooing: Achieved Age of attainment: Delayed Babbling: Not achieved Meaningful words: Not achieved Expressive:- Cooing: Achieved Age of attainment: Delayed Babbling: Not achieved Meaningful words: Not achieved Details:: Kinship words Communication & Language Assessment Non-Verbal Communication Grading:- Need-based communication: Emerging Drag for needs: Emerging Joint attention: Emerging Pointing: Attempts Understanding gestures: Absent Following commands (gesture + verbal): 1-step Answering Questions:- Echolalia: Present Social Social smile: Achieved Age of attainment: 2 months Stranger anxiety: Achieved Age of attainment: 8 months Waving bye bye: Achieved Age of attainment: 12 months Comes when called: Achieved Age of attainment: Response to Name Call Sitting tolerance- (in minutes) For interaction: Doesnt want to sit For tasks: Better for tasks ADL Skills (Age-appropriate)- Eating: 1. Dependent Bathing: 1. Dependent Toilet training: 3. Needs significant assistance Dressing: 1. Dependent Undressing: 1. Dependent Details:: Gives cues for urine and stool Type of Play : 2. Isolated Academic History: Is child enrolled in school: No Diet History: Food preferences: Mixed Food allergies: No Junk food intake: No Sleep History Total sleep duration (night): 10 hours Afternoon nap: No Daily Screen Time Duration: < 1 hour Type of screen: Mobile and TV Examination a. Vitals: b. Anthropometry: c. General Examination 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 CVS examination: NAD Respiratory System examination: NAD Per abdomen examination: NAD Impression: ? ASD Advice Intervention plan: IDP 2/week + PMT 1/week Evaluation: DQ, ISAA, DSM5 ASD Follow up plan: Every month General recommendation- Zero Screen Time Physical interactive play No Junk food No focus on academics at present

OPD : 18-Aug-2026 03:54PM Demographic Details

Child's Name: Aniruddh Singh Gurjar
Age: 3 Year 7 Month 16 Days
Gender: Male
DOB: 2023-01-02
Mother’s age (years): 25 years
Mother’s occupation: Homemarker
Father’s age (years): 31 years
Father’s occupation: HDFC Bank
Type of family: Joint
Number of family members: 7
Number of siblings: 0
Address: Darpan Colony
Contact: 8959465787
Referred By: Doctor
Informant: Parents

Presenting Concerns

Chief concerns: Delayed speech, isolated plays

Interaction history:

Eye contact: Fleeting
Quality of Interaction: limited

Behavioral history:

Repetitive behaviors (RRBs): Jumping, stimming, running to and fro Patterned behavior or activities: Hyperactivity Inattention Object obsession
Sensory Concerns:

Auditory: Hypersensitive
Proprioception: Seeks pressure
Vestibular: Seeks movement

Details:: Closes ears

Birth & Perinatal History: Antenatal History

Consanguinity: No
Type of conception: Natural

Natal and Postnatal History:

Place of Birth: Institutional
Mode of Delivery: LSCS
Indication for LSCS (if applicable): Not known
Gestational Age: FT
Birth Weight: 2.7 Kg
Cry at birth: Cried immediately after birth
Resuscitation required: No
NICU stay: Yes
If yes- Duration & Indication: At age 12 days admitted for sepsis for 1 day

Past history:

Hospitalization: No Seizures: No

Past/Current therapies: Nil Past/Current medications: Nil 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: 7 months
Standing without support: Achieved

Age of attainment: 9 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:

Language

Receptive:-

Joint attention: Achieved

Age of attainment: Delayed
Pointing: Achieved

Age of attainment: Delayed
Understanding gestures: Achieved

Age of attainment:
Following commands: 1-step

Expressive:-

Cooing: Achieved

Age of attainment: Delayed

Babbling: Not achieved

Meaningful words: Not achieved

Expressive:-

Cooing: Achieved

Age of attainment: Delayed

Babbling: Not achieved

Meaningful words: Not achieved

Details:: Kinship words

Communication & Language Assessment

Non-Verbal Communication Grading:-

Need-based communication: Emerging
Drag for needs: Emerging
Joint attention: Emerging
Pointing: Attempts
Understanding gestures: Absent
Following commands (gesture + verbal): 1-step

Answering Questions:-

Echolalia: Present

Social

Social smile: Achieved

Age of attainment: 2 months
Stranger anxiety: Achieved

Age of attainment: 8 months
Waving bye bye: Achieved

Age of attainment: 12 months
Comes when called: Achieved

Age of attainment:

Response to Name Call

Sitting tolerance- (in minutes)

For interaction: Doesnt want to sit
For tasks: Better for tasks

ADL Skills (Age-appropriate)-

Eating: 1. Dependent
Bathing: 1. Dependent
Toilet training: 3. Needs significant assistance
Dressing: 1. Dependent
Undressing: 1. Dependent

Details:: Gives cues for urine and stool

Type of Play : 2. Isolated Academic History:

Is child enrolled in school: No

Diet History:

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

Sleep History

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

Daily Screen Time

Duration: < 1 hour
Type of screen: Mobile and TV

Examination

a. Vitals:

b. Anthropometry:

c. General Examination

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

CVS examination: NAD
Respiratory System examination: NAD
Per abdomen examination: NAD

Impression: ? ASD

Advice

Intervention plan: IDP 2/week + PMT 1/week
Evaluation: DQ, ISAA, DSM5 ASD
Follow up plan: Every month
General recommendation-
1. Zero Screen Time
2. Physical interactive play
3. No Junk food
4. No focus on academics at present

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