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OPD : 01-Oct-2026 11:05AM Demographic Details Child's Name: Aadhya Jain Age: 7 Month 22 Days Gender: Male DOB: 2026-02-09 Mother’s age (years): 30 years Mother’s occupation: Homemaker Father’s age (years): 33 years Father’s occupation: Shop Type of family: Joint Number of family members: 4 Number of siblings: 1 Details of siblings (Age and sex): 8 year old male Address: Narwar Contact: 8120552816 Referred By: Doctor Informant: Parents Presenting Concerns Chief concerns: Developmental Delay Interaction history: Eye contact: Sustained Quality of Interaction: age-appropriate Behavioral history: Mouthing of objects Birth & Perinatal History: Antenatal History Consanguinity: No Type of conception: Natural High-risk factors in pregnancy: Hypothyroidism Others:: Neonatal thyroid screening- normal Natal and Postnatal History: Place of Birth: Institutional Gestational Age: 28 weeks Birth Weight: 1.6 Kg Cry at birth: Cried immediately after birth Resuscitation required: No NICU stay: Yes If yes- Duration & Indication: Admitted for 1.5 month in NICU for VLBW. Oxygenation for 2 days Past history: Hospitalization: No Seizures: No Past/Current therapies: Nil Past/Current medications: Nil Investigations done- Hearing assessment: Done Details: OAE- Pass B/l Vision assessment: Done Details: ROP- follow ups going on Family history: Neuropsychiatric condition: No Developmental History: Gross Motor Neck holding: Achieved Age of attainment: 7 months Roll over: Achieved Age of attainment: 7 months Sitting without support: Not achieved Standing without support: Not achieved Fine Motor Bidextrous grasp: Achieved Age of attainment: 6 months Unidextrous grasp: Achieved Age of attainment: 7 months Pincer grasp: Not achieved Language Receptive:- Joint attention: Not achieved Pointing: Not achieved Expressive:- Cooing: Achieved Age of attainment: 6 months Babbling: Not achieved Expressive:- Cooing: Achieved Age of attainment: 6 months Babbling: Not achieved Communication & Language Assessment Non-Verbal Communication Grading:- Answering Questions:- Social Social smile: Achieved Age of attainment: 7 months Stranger anxiety: Not achieved Response to Name Call Sitting tolerance- (in minutes) ADL Skills (Age-appropriate)- Eating: 1. Dependent Bathing: 1. Dependent Toilet training: 1. Dependent Dressing: 1. Dependent Undressing: 1. Dependent Type of Play : 1. Unoccupied Academic History: Diet History: Food preferences: Started complimentary feed Food allergies: No Junk food intake: Nil Sleep History Total sleep duration (night): As per age Afternoon nap: Yes Daily Screen Time Duration: Zero Examination a. Vitals: b. Anthropometry: Weight: 5.5 kg Height: 60.5 cm Head circumference: 39.5 cm c. General Examination d. CNS: Higher Mental Functions Sensory Examination Cranial Nerves (1â€“12) Neuromuscular Concerns Oromotor Examination Examination summary: Mild hypotonia. Prone- weight bearing on forearm, head lifted upto 90 degree. Pull to sit- Lifts head in alignment of body, back slightly curved. Visual- fixating and following objects, turns to sound CVS examination: NAD Respiratory System examination: NAD Per abdomen examination: NAD Impression: GDD. Advice Intervention plan: Home strategies adviced Follow up plan: Next month General recommendation- Zero Screen Time Physical interactive play No Junk food

OPD : 01-Oct-2026 11:05AM Demographic Details

Child's Name: Aadhya Jain
Age: 7 Month 22 Days
Gender: Male
DOB: 2026-02-09
Mother’s age (years): 30 years
Mother’s occupation: Homemaker
Father’s age (years): 33 years
Father’s occupation: Shop
Type of family: Joint
Number of family members: 4
Number of siblings: 1
Details of siblings (Age and sex): 8 year old male
Address: Narwar
Contact: 8120552816
Referred By: Doctor
Informant: Parents

Presenting Concerns

Chief concerns: Developmental Delay

Interaction history:

Eye contact: Sustained
Quality of Interaction: age-appropriate

Behavioral history:

Mouthing of objects

Birth & Perinatal History: Antenatal History

Consanguinity: No
Type of conception: Natural
High-risk factors in pregnancy:
1. Hypothyroidism
Others:: Neonatal thyroid screening- normal

Natal and Postnatal History:

Place of Birth: Institutional
Gestational Age: 28 weeks
Birth Weight: 1.6 Kg
Cry at birth: Cried immediately after birth
Resuscitation required: No
NICU stay: Yes
If yes- Duration & Indication: Admitted for 1.5 month in NICU for VLBW. Oxygenation for 2 days

Past history:

Hospitalization: No Seizures: No

Past/Current therapies: Nil Past/Current medications: Nil Investigations done-

Hearing assessment: Done Details: OAE- Pass B/l Vision assessment: Done Details: ROP- follow ups going on

Family history:

Neuropsychiatric condition: No

Developmental History:

Gross Motor

Neck holding: Achieved

Age of attainment: 7 months
Roll over: Achieved

Age of attainment: 7 months
Sitting without support: Not achieved
Standing without support: Not achieved

Fine Motor

Bidextrous grasp: Achieved

Age of attainment: 6 months

Unidextrous grasp: Achieved

Age of attainment: 7 months

Pincer grasp: Not achieved

Language

Receptive:-

Joint attention: Not achieved
Pointing: Not achieved

Expressive:-

Cooing: Achieved

Age of attainment: 6 months

Babbling: Not achieved

Expressive:-

Cooing: Achieved

Age of attainment: 6 months

Babbling: Not achieved

Communication & Language Assessment

Non-Verbal Communication Grading:-

Answering Questions:-

Social

Social smile: Achieved

Age of attainment: 7 months
Stranger anxiety: Not achieved

Response to Name Call

Sitting tolerance- (in minutes)

ADL Skills (Age-appropriate)-

Eating: 1. Dependent
Bathing: 1. Dependent
Toilet training: 1. Dependent
Dressing: 1. Dependent
Undressing: 1. Dependent

Type of Play : 1. Unoccupied Academic History:

Diet History:

Food preferences: Started complimentary feed
Food allergies: No
Junk food intake: Nil

Sleep History

Total sleep duration (night): As per age
Afternoon nap: Yes

Daily Screen Time

Duration: Zero

Examination

a. Vitals:

b. Anthropometry:

Weight: 5.5 kg Height: 60.5 cm Head circumference: 39.5 cm

c. General Examination

d. CNS: Higher Mental Functions

Sensory Examination

Cranial Nerves (1â€“12)

Neuromuscular Concerns

Oromotor Examination

Examination summary: Mild hypotonia. Prone- weight bearing on forearm, head lifted upto 90 degree. Pull to sit- Lifts head in alignment of body, back slightly curved. Visual- fixating and following objects, turns to sound CVS examination: NAD
Respiratory System examination: NAD
Per abdomen examination: NAD

Impression: GDD.

Advice

Intervention plan: Home strategies adviced
Follow up plan: Next month
General recommendation-
1. Zero Screen Time
2. Physical interactive play
3. No Junk food

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