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OPD : 24-Aug-2026 01:14PM Demographic Details Child's Name: Divyanshi Rajput Age: 3 Year 7 Month 26 Days Gender: Female DOB: 2022-12-29 Contact: 6394517213 Interaction history: Eye contact: Suboptimal Quality of Interaction: limited Behavioral history: Repetitive behaviors (RRBs): spinning reduced Patterned behavior or activities: Inattention Mouthing of objects Sensory Concerns: Visual: Seeks visuals Proprioception: Seeks pressure Vestibular: Seeks movement Details:: Reduced 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: Inconsistent Drag for needs: Inconsistent Joint attention: Inconsistent Pointing: Inconsistent meaningful pointing Understanding gestures: Emerging Following commands (gesture + verbal): Nil Answering Questions:- Echolalia: Present Social Response to Name Call Details: 8/10 Sitting tolerance- (in minutes) For interaction: 2-3 minutes For tasks: 2-3 minutes ADL Skills (Age-appropriate)- Eating: 3. Needs significant assistance Bathing: 3. Needs significant assistance Toilet training: 1. Dependent Dressing: 1. Dependent Undressing: 2. Started attempting 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): 10 hours Afternoon nap: No Daily Screen Time Duration: Zero Examination a. Vitals: b. Anthropometry: c. General Examination d. CNS: Higher Mental Functions Sensory Examination Cranial Nerves (1–12) Neuromuscular Concerns Oromotor Examination Advice Intervention plan: IDP 1/15 days + PMT 1/week (Hybrid) Medications: Syp Histafer (30mg/5ml) 4 ml BD, Syp Autinorm 5ml BD Follow up plan: Next month General recommendation- Zero Screen Time Physical interactive play

OPD : 24-Aug-2026 01:14PM Demographic Details

Child's Name: Divyanshi Rajput
Age: 3 Year 7 Month 26 Days
Gender: Female
DOB: 2022-12-29
Contact: 6394517213

Interaction history:

Eye contact: Suboptimal
Quality of Interaction: limited

Behavioral history:

Repetitive behaviors (RRBs): spinning reduced Patterned behavior or activities: Inattention Mouthing of objects
Sensory Concerns:

Visual: Seeks visuals
Proprioception: Seeks pressure
Vestibular: Seeks movement

Details:: Reduced

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: Inconsistent
Drag for needs: Inconsistent
Joint attention: Inconsistent
Pointing: Inconsistent meaningful pointing
Understanding gestures: Emerging
Following commands (gesture + verbal): Nil

Answering Questions:-

Echolalia: Present

Social

Response to Name Call

Details: 8/10

Sitting tolerance- (in minutes)

For interaction: 2-3 minutes
For tasks: 2-3 minutes

ADL Skills (Age-appropriate)-

Eating: 3. Needs significant assistance
Bathing: 3. Needs significant assistance
Toilet training: 1. Dependent
Dressing: 1. Dependent
Undressing: 2. Started attempting

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): 10 hours
Afternoon nap: No

Daily Screen Time

Duration: Zero

Examination

a. Vitals:

b. Anthropometry:

c. General Examination

d. CNS: Higher Mental Functions

Sensory Examination

Cranial Nerves (1–12)

Neuromuscular Concerns

Oromotor Examination

Advice

Intervention plan: IDP 1/15 days + PMT 1/week (Hybrid)
Medications: Syp Histafer (30mg/5ml) 4 ml BD, Syp Autinorm 5ml BD
Follow up plan: Next month
General recommendation-
1. Zero Screen Time
2. Physical interactive play

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