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OPD : 17-Sep-2026 10:35AM Demographic Details Child's Name: Suryansh Rathore Age: 9 Year Gender: Male DOB: 2017-07-16 Contact: 7000609314 Current Improvements: Expresses well, better command following Current concerns: Doesnt want to school, lying, doesnt accept Interaction history: Eye contact: Suboptimal Quality of Interaction: age-appropriate Behavioral history: Stubbornness 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 Pointing: Consistent meaningful pointing Understanding gestures: Consistent Following commands (gesture + verbal): 2-step Answering Questions:- Social Response to Name Call Details: 8/10 Sitting tolerance- (in minutes) For interaction: 5 minutes For tasks: 5-10 minutes ADL Skills (Age-appropriate)- Eating: 5. Independent Bathing: 5. Independent Toilet training: 5. Independent Dressing: 5. Independent Undressing: 5. Independent Type of Play : 5. Associative Academic History: Is child enrolled in school: Yes Type of school: Regular Name of School: St Joseph School Grade: 4 Additional information: Discontinued since 1 week Diet History: Food preferences: Mixed Food allergies: No Junk food intake: Nil Sleep History Total sleep duration (night): 10 hours Afternoon nap: No Duration of Afternoon nap: No Daily Screen Time Duration: < 2 hours Type of screen: Mobile and TV Examination a. Vitals: b. Anthropometry: c. General Examination d. CNS: Higher Mental Functions Sensory Examination Cranial Nerves (1â€“12) Neuromuscular Concerns Oromotor Examination Impression: Improvement in attention, understanding, expression Advice Intervention plan: IEP 3/week + PMT 1/week Investigations: CBC, Thyroid Profile, Vitamin D, Vitamin B12 Medications: syp IQ norm DHA 5 ml BD Follow up plan: Next month General recommendation- Zero Screen Time Physical interactive play No Junk food

OPD : 17-Sep-2026 10:35AM Demographic Details

Child's Name: Suryansh Rathore
Age: 9 Year
Gender: Male
DOB: 2017-07-16
Contact: 7000609314
Current Improvements: Expresses well, better command following
Current concerns: Doesnt want to school, lying, doesnt accept

Interaction history:

Eye contact: Suboptimal
Quality of Interaction: age-appropriate

Behavioral history:

Stubbornness

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
Pointing: Consistent meaningful pointing
Understanding gestures: Consistent
Following commands (gesture + verbal): 2-step

Answering Questions:-

Social

Response to Name Call

Details: 8/10

Sitting tolerance- (in minutes)

For interaction: 5 minutes
For tasks: 5-10 minutes

ADL Skills (Age-appropriate)-

Eating: 5. Independent
Bathing: 5. Independent
Toilet training: 5. Independent
Dressing: 5. Independent
Undressing: 5. Independent

Type of Play : 5. Associative Academic History:

Is child enrolled in school: Yes
Type of school: Regular
Name of School: St Joseph School
Grade: 4
Additional information: Discontinued since 1 week

Diet History:

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

Sleep History

Total sleep duration (night): 10 hours
Afternoon nap: No
Duration of Afternoon nap: No

Daily Screen Time

Duration: < 2 hours
Type of screen: Mobile and TV

Examination

a. Vitals:

b. Anthropometry:

c. General Examination

d. CNS: Higher Mental Functions

Sensory Examination

Cranial Nerves (1â€“12)

Neuromuscular Concerns

Oromotor Examination

Impression: Improvement in attention, understanding, expression

Advice

Intervention plan: IEP 3/week + PMT 1/week
Investigations: CBC, Thyroid Profile, Vitamin D, Vitamin B12
Medications: syp IQ norm DHA 5 ml BD
Follow up plan: Next month
General recommendation-
1. Zero Screen Time
2. Physical interactive play
3. No Junk food

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