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OPD : 04-Sep-2026 02:38PM Demographic Details Child's Name: Darsh Pratap Singh Age: 3 Year 6 Month 10 Days Gender: Male DOB: 2023-02-25 Mother’s age (years): 35 years Mother’s occupation: Homemaker Father’s age (years): 42 years Father’s occupation: Private job Type of family: Nuclear Number of family members: 4 Number of siblings: 1 Details of siblings (Age and sex): 9 year old female Address: Govindpuri Contact: 9827734986 Referred By: Doctor Informant: Parents Presenting Concerns Chief concerns: Speech Delay Strengths of child: interaction is good Interaction history: Eye contact: Sustained Quality of Interaction: age-appropriate Behavioral history: Impulsivity Sensory Concerns: Auditory: Hypersensitive Birth & Perinatal History: Antenatal History Consanguinity: No Type of conception: Natural High-risk factors in pregnancy: PIH Natal and Postnatal History: Place of Birth: Institutional Mode of Delivery: LSCS Indication for LSCS (if applicable): PIH Gestational Age: Late PT Birth Weight: 2.5 Kg Cry at birth: Cried immediately after birth Resuscitation required: No NICU stay: No 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: 14 months Walking without support: Achieved Age of attainment: 18 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: 9 months Pointing: Achieved Age of attainment: 12 months Understanding gestures: Achieved Age of attainment: Following commands: 1-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: 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: Not achieved Details:: Currently 10-20 words vocabulary, imitation+. Unclear speech 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:- 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: Copying parents in tasks: Achieved Age of attainment: Response to Name Call Details: 9/10 Sitting tolerance- (in minutes) ADL Skills (Age-appropriate)- Eating: 4. Needs minimal assistance Bathing: 3. Needs significant assistance Toilet training: 3. Needs significant assistance 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: Poddar jumbokids Grade: Playgroup Hours spent in school: 2.5 hours Diet History: Food preferences: Mixed Food allergies: No Junk food intake: Occasional Sleep History Total sleep duration (night): 10 hours Afternoon nap: Yes Duration of Afternoon nap: 3-4 hours Daily Screen Time Duration: > 5 hours Type of screen: Mobile and TV Examination a. Vitals: b. Anthropometry: Weight: 12 Kg Height: 90 cm Head circumference: 48 cm c. General Examination Dysmorphology: Ab Neurocutaneous markers: Hypopigmented spots over back d. CNS: Higher Mental Functions Sensory Examination Cranial Nerves (1â€“12) Neuromuscular Concerns Oromotor Examination Chewing: Proper Swallowing: Proper Blowing: Proper Sucking: Proper Examination summary: Tongue movements - normal CVS examination: NAD Respiratory System examination: NAD Per abdomen examination: NAD Impression: Expressive language delay Advice Intervention plan: After evaluation Evaluation: Speech and language evaluation General recommendation- Zero Screen Time Physical interactive play No Junk food No focus on academics at present

OPD : 04-Sep-2026 02:38PM Demographic Details

Child's Name: Darsh Pratap Singh
Age: 3 Year 6 Month 10 Days
Gender: Male
DOB: 2023-02-25
Mother’s age (years): 35 years
Mother’s occupation: Homemaker
Father’s age (years): 42 years
Father’s occupation: Private job
Type of family: Nuclear
Number of family members: 4
Number of siblings: 1
Details of siblings (Age and sex): 9 year old female
Address: Govindpuri
Contact: 9827734986
Referred By: Doctor
Informant: Parents

Presenting Concerns

Chief concerns: Speech Delay

Strengths of child: interaction is good

Interaction history:

Eye contact: Sustained
Quality of Interaction: age-appropriate

Behavioral history:

Impulsivity
Sensory Concerns:

Auditory: Hypersensitive

Birth & Perinatal History: Antenatal History

Consanguinity: No
Type of conception: Natural
High-risk factors in pregnancy:
1. PIH

Natal and Postnatal History:

Place of Birth: Institutional
Mode of Delivery: LSCS
Indication for LSCS (if applicable): PIH
Gestational Age: Late PT
Birth Weight: 2.5 Kg
Cry at birth: Cried immediately after birth
Resuscitation required: No
NICU stay: No

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: 14 months
Walking without support: Achieved

Age of attainment: 18 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: 9 months
Pointing: Achieved

Age of attainment: 12 months
Understanding gestures: Achieved

Age of attainment:
Following commands: 1-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: 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: Not achieved

Details:: Currently 10-20 words vocabulary, imitation+. Unclear speech

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:-

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:
Copying parents in tasks: Achieved

Age of attainment:

Response to Name Call

Details: 9/10

Sitting tolerance- (in minutes)

ADL Skills (Age-appropriate)-

Eating: 4. Needs minimal assistance
Bathing: 3. Needs significant assistance
Toilet training: 3. Needs significant assistance
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: Poddar jumbokids
Grade: Playgroup
Hours spent in school: 2.5 hours

Diet History:

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

Sleep History

Total sleep duration (night): 10 hours
Afternoon nap: Yes
Duration of Afternoon nap: 3-4 hours

Daily Screen Time

Duration: > 5 hours
Type of screen: Mobile and TV

Examination

a. Vitals:

b. Anthropometry:

Weight: 12 Kg Height: 90 cm Head circumference: 48 cm

c. General Examination

Dysmorphology: Ab Neurocutaneous markers: Hypopigmented spots over back

d. CNS: Higher Mental Functions

Sensory Examination

Cranial Nerves (1â€“12)

Neuromuscular Concerns

Oromotor Examination

Chewing: Proper
Swallowing: Proper
Blowing: Proper
Sucking: Proper

Examination summary: Tongue movements - normal CVS examination: NAD
Respiratory System examination: NAD
Per abdomen examination: NAD

Impression: Expressive language delay

Advice

Intervention plan: After evaluation
Evaluation: Speech and language evaluation
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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