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OPD : 26-Aug-2026 01:00PM Demographic Details Child's Name: Medant Sharma Age: 9 Month 13 Days Gender: Male DOB: 2025-11-13 Type of family: Nuclear Number of family members: 3 Number of siblings: 0 Address: AG colony Contact: 7509202585 Referred By: Doctor Informant: Parents Presenting Concerns Chief concerns: Reduced response to name call Interaction history: Eye contact: Sustained Quality of Interaction: age-appropriate Behavioral history: Stubbornness Sensory Concerns: Visual: Seeks visuals Birth & Perinatal History: Antenatal History Consanguinity: No Maternal age at conception (years):: 26 Type of conception: Natural Others:: Amniocentesis- normal . Antidepressants were taken during pregnancy. Natal and Postnatal History: Place of Birth: Institutional Mode of Delivery: LSCS Indication for LSCS (if applicable): Reduced flow Gestational Age: FT Birth Weight: 2.6 Kg Cry at birth: Cried immediately after birth Resuscitation required: No NICU stay: Yes If yes- Duration & Indication: In NICU for 8 days for sepsis Past history: Hospitalization: No Seizures: No Investigations done- Hearing assessment: Done Details: OAE- pass Vision assessment: Done Family history: Neuropsychiatric condition: Yes Others: Neurological issue in distant relative Developmental History: Gross Motor Neck holding: Achieved Age of attainment: 4 months Roll over: Achieved Age of attainment: 7 months Sitting without support: Achieved Age of attainment: 8 months Standing without support: Not achieved Fine Motor Bidextrous grasp: Achieved Age of attainment: 6 months Unidextrous grasp: Achieved Age of attainment: 7 months Pincer grasp: Not achieved Language Receptive:- Joint attention: Not achieved Pointing: Not achieved Understanding gestures: Not achieved Expressive:- Cooing: Achieved Age of attainment: 4 months Babbling: Achieved Age of attainment: 6 months Meaningful words: Not achieved Expressive:- Cooing: Achieved Age of attainment: 4 months Babbling: Achieved Age of attainment: 6 months Meaningful words: Not achieved Communication & Language Assessment Non-Verbal Communication Grading:- Need-based communication: Absent Drag for needs: Absent Joint attention: Absent Pointing: Absent Understanding gestures: Absent Following commands (gesture + verbal): Nil Answering Questions:- Social Social smile: Achieved Age of attainment: 2 months Stranger anxiety: Not achieved Response to Name Call Details: 6/10 Sitting tolerance- (in minutes) For interaction: as per age For tasks: as per age ADL Skills (Age-appropriate)- Eating: 1. Dependent Bathing: 1. Dependent Toilet training: 1. Dependent Dressing: 1. Dependent Undressing: 1. Dependent Type of Play : 3. Onlooker Academic History: Is child enrolled in school: No Diet History: Food preferences: Mixed Food allergies: No Junk food intake: Nil Sleep History Total sleep duration (night): 11 hours Afternoon nap: Yes Duration of Afternoon nap: 3 naps- 30 min Sleep disturbances: Yes Daily Screen Time Duration: Zero Examination a. Vitals: b. Anthropometry: Weight: 12 Kg Height: 76 cm Head circumference: 46 cm c. General Examination Dysmorphology: Ab Neurocutaneous markers: 2 cafe au lait macules ( 1 at left thigh, 1 at neck) d. CNS: Higher Mental Functions Sensory Examination Cranial Nerves (1–12) Neuromuscular Concerns Oromotor Examination CVS examination: NAD Respiratory System examination: NAD Per abdomen examination: NAD Advice Intervention plan: Parents counselled. Home strategies adviced Follow up plan: Next month General recommendation- Zero Screen Time Physical interactive play No Junk food

OPD : 26-Aug-2026 01:00PM Demographic Details

Child's Name: Medant Sharma
Age: 9 Month 13 Days
Gender: Male
DOB: 2025-11-13
Type of family: Nuclear
Number of family members: 3
Number of siblings: 0
Address: AG colony
Contact: 7509202585
Referred By: Doctor
Informant: Parents

Presenting Concerns

Chief concerns: Reduced response to name call

Interaction history:

Eye contact: Sustained
Quality of Interaction: age-appropriate

Behavioral history:

Stubbornness
Sensory Concerns:

Visual: Seeks visuals

Birth & Perinatal History: Antenatal History

Consanguinity: No
Maternal age at conception (years):: 26
Type of conception: Natural
Others:: Amniocentesis- normal . Antidepressants were taken during pregnancy.

Natal and Postnatal History:

Place of Birth: Institutional
Mode of Delivery: LSCS
Indication for LSCS (if applicable): Reduced flow
Gestational Age: FT
Birth Weight: 2.6 Kg
Cry at birth: Cried immediately after birth
Resuscitation required: No
NICU stay: Yes
If yes- Duration & Indication: In NICU for 8 days for sepsis

Past history:

Hospitalization: No Seizures: No

Investigations done-

Hearing assessment: Done Details: OAE- pass Vision assessment: Done

Family history:

Neuropsychiatric condition: Yes Others: Neurological issue in distant relative

Developmental History:

Gross Motor

Neck holding: Achieved

Age of attainment: 4 months
Roll over: Achieved

Age of attainment: 7 months
Sitting without support: Achieved

Age of attainment: 8 months
Standing without support: Not achieved

Fine Motor

Bidextrous grasp: Achieved

Age of attainment: 6 months

Unidextrous grasp: Achieved

Age of attainment: 7 months

Pincer grasp: Not achieved

Language

Receptive:-

Joint attention: Not achieved
Pointing: Not achieved
Understanding gestures: Not achieved

Expressive:-

Cooing: Achieved

Age of attainment: 4 months

Babbling: Achieved

Age of attainment: 6 months

Meaningful words: Not achieved

Expressive:-

Cooing: Achieved

Age of attainment: 4 months

Babbling: Achieved

Age of attainment: 6 months

Meaningful words: Not achieved

Communication & Language Assessment

Non-Verbal Communication Grading:-

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

Answering Questions:-

Social

Social smile: Achieved

Age of attainment: 2 months
Stranger anxiety: Not achieved

Response to Name Call

Details: 6/10

Sitting tolerance- (in minutes)

For interaction: as per age
For tasks: as per age

ADL Skills (Age-appropriate)-

Eating: 1. Dependent
Bathing: 1. Dependent
Toilet training: 1. Dependent
Dressing: 1. Dependent
Undressing: 1. Dependent

Type of Play : 3. Onlooker Academic History:

Is child enrolled in school: No

Diet History:

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

Sleep History

Total sleep duration (night): 11 hours
Afternoon nap: Yes
Duration of Afternoon nap: 3 naps- 30 min
Sleep disturbances: Yes

Daily Screen Time

Duration: Zero

Examination

a. Vitals:

b. Anthropometry:

Weight: 12 Kg Height: 76 cm Head circumference: 46 cm

c. General Examination

Dysmorphology: Ab Neurocutaneous markers: 2 cafe au lait macules ( 1 at left thigh, 1 at neck)

d. CNS: Higher Mental Functions

Sensory Examination

Cranial Nerves (1–12)

Neuromuscular Concerns

Oromotor Examination

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

Advice

Intervention plan: Parents counselled. Home strategies adviced
Follow up plan: Next month
General recommendation-
1. Zero Screen Time
2. Physical interactive play
3. No Junk food

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