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OPD : 06-Oct-2026 12:56PM Demographic Details Child's Name: Adwick Narwariya Age: 5 Year Gender: Male DOB: 2021-09-25 Contact: 9074731668 Current Improvements: Sitting tolerance improved Interaction history: Eye contact: Sustained Behavioral history: Birth & Perinatal History: Antenatal History Natal and Postnatal History: Past history: Investigations done- Family history: Developmental History: Gross Motor Fine Motor Language Expressive:- Communication & Language Assessment Non-Verbal Communication Grading:- Answering Questions:- Social Response to Name Call Sitting tolerance- (in minutes) ADL Skills (Age-appropriate)- Academic History: Diet History: Examination a. Vitals: b. Anthropometry: c. General Examination d. CNS: Higher Mental Functions Sensory Examination Cranial Nerves (1â€“12) Neuromuscular Concerns Motor delay: Gross motor and Fine motor Tone: Hypotonia Oromotor Examination Drooling: Yes Chewing: Proper Swallowing: Proper Blowing: Proper Sucking: Proper Examination summary: Core muscle weakness, flexed posture, avoids using right hand, misarticulation+ CVS examination: NAD Respiratory System examination: NAD Per abdomen examination: NAD Impression: Sitting tolerance has improved. Advice Intervention plan: IDP + PT 3/week Follow up plan: Next month General recommendation- Zero Screen Time Physical interactive play No Junk food

OPD : 06-Oct-2026 12:56PM Demographic Details

Child's Name: Adwick Narwariya
Age: 5 Year
Gender: Male
DOB: 2021-09-25
Contact: 9074731668
Current Improvements: Sitting tolerance improved

Interaction history:

Eye contact: Sustained

Behavioral history:

Birth & Perinatal History: Antenatal History

Natal and Postnatal History:

Past history:

Investigations done-

Family history:

Developmental History:

Gross Motor

Fine Motor

Language

Expressive:-

Communication & Language Assessment

Non-Verbal Communication Grading:-

Answering Questions:-

Social

Response to Name Call

Sitting tolerance- (in minutes)

ADL Skills (Age-appropriate)-

Academic History:

Diet History:

Examination

a. Vitals:

b. Anthropometry:

c. General Examination

d. CNS: Higher Mental Functions

Sensory Examination

Cranial Nerves (1â€“12)

Neuromuscular Concerns

Motor delay: Gross motor and Fine motor
Tone: Hypotonia

Oromotor Examination

Drooling: Yes
Chewing: Proper
Swallowing: Proper
Blowing: Proper
Sucking: Proper

Examination summary: Core muscle weakness, flexed posture, avoids using right hand, misarticulation+ CVS examination: NAD
Respiratory System examination: NAD
Per abdomen examination: NAD

Impression: Sitting tolerance has improved.

Advice

Intervention plan: IDP + PT 3/week
Follow up plan: Next month
General recommendation-
1. Zero Screen Time
2. Physical interactive play
3. No Junk food

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