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Welcome to Otika template!
Yesterday
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Patient Details
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OPD :
28-Jul-2026 04:34PM
Demographic Details
Child's Name
:
Swastik Sharma
Age
:
5 Year 8 Month 15 Days
Gender
:
Male
DOB
:
2020-06-12
Contact
:
9575111122
Interaction history:
Eye contact
:
Suboptimal
Interaction
:
Improved with known people
Quality of Interaction
:
limited
Behavioral history:
Sensory Concerns:
Proprioception
:
Seeks pressure
Vestibular
:
Seeks movement
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:-
Need-based communication
:
Consistent
Drag for needs
:
Consistent
Joint attention
:
Inconsistent
Pointing
:
Inconsistent meaningful pointing
Understanding gestures
:
Emerging
Following commands (gesture + verbal)
:
1-step
Answering Questions:-
Social
Response to Name Call
Details
:
9/10
Sitting tolerance- (in minutes)
For interaction
:
5-10 minutes
For tasks
:
sitting in class for 15-20 minutes
ADL Skills (Age-appropriate)-
Eating
:
4. Needs minimal assistance
Bathing
:
4. Needs minimal assistance
Toilet training
:
3. Needs significant assistance
Dressing
:
3. Needs significant assistance
Undressing
:
3. Needs significant assistance
Details:
:
Eats food of his choice by himself
Type of Play : 3. Onlooker
Academic History:
Is child enrolled in school
:
No
Diet History:
Food preferences
:
Mixed
Food allergies
:
No
Sleep History
Total sleep duration (night)
:
9-10 hours
Afternoon nap
:
Yes
Duration of Afternoon nap
:
1-1.5 hour
Daily Screen Time
Duration
:
Zero
Examination
a. Vitals:
b. Anthropometry:
Weight
:
19.6 Kg
Height
:
109 cm
Head circumference
:
49 cm
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
Impression
:
ASD
Advice
Intervention plan
:
IDP 2/week + PMT 1/month
Follow up plan
:
every month
General recommendation-
Zero Screen Time
Physical interactive play
No Junk food
No focus on academics at present
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