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Patient Details


OPD : 06-Oct-2026 03:43PM Demographic Details Child's Name: Tavish Age: 9 Year Gender: Male DOB: 2017-09-24 Contact: 9611074871 Interaction history: Eye contact: Suboptimal Behavioral history: Hyperactivity Inattention Impulsivity Object obsession Temper tantrums Stubbornness Aggression Emotional history: Irritability Sensory Concerns: Auditory: Hypersensitive Birth & Perinatal History: Antenatal History Consanguinity: No Type of conception: Natural Others:: Twins Natal and Postnatal History: Place of Birth: Institutional Mode of Delivery: LSCS Gestational Age: 28 Weeks Birth Weight: 1.4 Kg Cry at birth: Cried immediately after birth Resuscitation required: Yes NICU stay: Yes If yes- Duration & Indication: PT Anemia of prematurity- 27 days Past history: Hospitalization: No Seizures: No Past/Current therapies: Nil Investigations done- Hearing assessment: Done Vision assessment: Done Details: Wearing glasses since 3 years age Family history: Neuropsychiatric condition: No Developmental History: Gross Motor Neck holding: Achieved Age of attainment: 2 years Roll over: Achieved Age of attainment: 2 years Sitting without support: Achieved Age of attainment: 3 years Standing without support: Achieved Age of attainment: 3.5 years Walking without support: Achieved Age of attainment: 4 years Fine Motor Bidextrous grasp: Achieved Age of attainment: 2 years Unidextrous grasp: Achieved Age of attainment: 2.5 years Pincer grasp: Achieved Age of attainment: 3 years 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: Delayed Pointing: Achieved Age of attainment: Delayed Understanding gestures: Achieved Age of attainment: Following commands: 1-step Expressive:- Cooing: Achieved Age of attainment: 1 year Babbling: Achieved Age of attainment: 2 years Meaningful words: Achieved Age of attainment: 3 years 2 word Phrases: Achieved Age of attainment: Complete sentences: Not achieved Expressive:- Cooing: Achieved Age of attainment: 1 year Babbling: Achieved Age of attainment: 2 years Meaningful words: Achieved Age of attainment: 3 years 2 word Phrases: Achieved Age of attainment: 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:- Echolalia: Present Social Social smile: Achieved Age of attainment: 1 year Response to Name Call Sitting tolerance- (in minutes) For interaction: 15-20 minutes For tasks: 30 minutes ADL Skills (Age-appropriate)- Eating: 4. Needs minimal assistance Bathing: 3. Needs significant assistance Toilet training: 5. Independent Dressing: 3. Needs significant assistance Undressing: 3. Needs significant assistance Type of Play : 4. Parallel Academic History: Is child enrolled in school: Yes Type of school: Regular Name of School: LAHS Grade: 1 Hours spent in school: 5 hours Board: CBSE Diet History: Food preferences: Mixed Food allergies: No Junk food intake: Occasional Sleep History Total sleep duration (night): 8-9hours Afternoon nap: No Daily Screen Time Duration: > 5 hours Examination a. Vitals: b. Anthropometry: c. General Examination d. CNS: Higher Mental Functions Sensory Examination Cranial Nerves (1â€“12) Neuromuscular Concerns Oromotor Examination Advice Intervention plan: HBP Investigations: EEG, MRI Brain. CBC, Urea, Creatinine, LFT, HBA1c Medications: Tab Arip 2mg 1/2 tab OD for 1 week then 1 tab OD Follow up plan: Next month General recommendation- Zero Screen Time Physical interactive play No Junk food No focus on academics at present

OPD : 06-Oct-2026 03:43PM Demographic Details

Child's Name: Tavish
Age: 9 Year
Gender: Male
DOB: 2017-09-24
Contact: 9611074871

Interaction history:

Eye contact: Suboptimal

Behavioral history:

Hyperactivity Inattention Impulsivity Object obsession Temper tantrums Stubbornness Aggression Emotional history:
Irritability
Sensory Concerns:

Auditory: Hypersensitive

Birth & Perinatal History: Antenatal History

Consanguinity: No
Type of conception: Natural
Others:: Twins

Natal and Postnatal History:

Place of Birth: Institutional
Mode of Delivery: LSCS
Gestational Age: 28 Weeks
Birth Weight: 1.4 Kg
Cry at birth: Cried immediately after birth
Resuscitation required: Yes
NICU stay: Yes
If yes- Duration & Indication: PT Anemia of prematurity- 27 days

Past history:

Hospitalization: No Seizures: No

Past/Current therapies: Nil Investigations done-

Hearing assessment: Done Vision assessment: Done Details: Wearing glasses since 3 years age

Family history:

Neuropsychiatric condition: No

Developmental History:

Gross Motor

Neck holding: Achieved

Age of attainment: 2 years
Roll over: Achieved

Age of attainment: 2 years
Sitting without support: Achieved

Age of attainment: 3 years
Standing without support: Achieved

Age of attainment: 3.5 years
Walking without support: Achieved

Age of attainment: 4 years

Fine Motor

Bidextrous grasp: Achieved

Age of attainment: 2 years

Unidextrous grasp: Achieved

Age of attainment: 2.5 years

Pincer grasp: Achieved

Age of attainment: 3 years

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: Delayed
Pointing: Achieved

Age of attainment: Delayed
Understanding gestures: Achieved

Age of attainment:
Following commands: 1-step

Expressive:-

Cooing: Achieved

Age of attainment: 1 year

Babbling: Achieved

Age of attainment: 2 years

Meaningful words: Achieved

Age of attainment: 3 years

2 word Phrases: Achieved

Age of attainment:

Complete sentences: Not achieved

Expressive:-

Cooing: Achieved

Age of attainment: 1 year

Babbling: Achieved

Age of attainment: 2 years

Meaningful words: Achieved

Age of attainment: 3 years

2 word Phrases: Achieved

Age of attainment:

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:-

Echolalia: Present

Social

Social smile: Achieved

Age of attainment: 1 year

Response to Name Call

Sitting tolerance- (in minutes)

For interaction: 15-20 minutes
For tasks: 30 minutes

ADL Skills (Age-appropriate)-

Eating: 4. Needs minimal assistance
Bathing: 3. Needs significant assistance
Toilet training: 5. Independent
Dressing: 3. Needs significant assistance
Undressing: 3. Needs significant assistance

Type of Play : 4. Parallel Academic History:

Is child enrolled in school: Yes
Type of school: Regular
Name of School: LAHS
Grade: 1
Hours spent in school: 5 hours
Board: CBSE

Diet History:

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

Sleep History

Total sleep duration (night): 8-9hours
Afternoon nap: No

Daily Screen Time

Duration: > 5 hours

Examination

a. Vitals:

b. Anthropometry:

c. General Examination

d. CNS: Higher Mental Functions

Sensory Examination

Cranial Nerves (1â€“12)

Neuromuscular Concerns

Oromotor Examination

Advice

Intervention plan: HBP
Investigations: EEG, MRI Brain. CBC, Urea, Creatinine, LFT, HBA1c
Medications: Tab Arip 2mg 1/2 tab OD for 1 week then 1 tab OD
Follow up plan: Next 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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