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OPD : 01-Jul-2026 01:48PM Demographic Details Child's Name: Aanya Dangi Age: 2 Year 9 Month 26 Days Gender: Female DOB: 2023-09-05 Type of family: Nuclear Number of family members: 3 Number of siblings: 0 Details of siblings (Age and sex): 0 Address: Delhi Contact: 6387204421 Referred By: Doctor Informant: Parents Presenting Concerns Chief concerns: Speech delay, poor response to name call Duration of symptoms: Noticed since 2.5 years age Interaction history: Eye contact: Poor Quality of Interaction: limited Behavioral history: Repetitive behaviors (RRBs): stimming, spinnin Patterned behavior or activities: Hyperactivity Inattention Impulsivity Object obsession Mouthing of objects Sensory Concerns: Auditory: Fear of loud sounds Visual: Seeks visuals Proprioception: Seeks pressure Birth & Perinatal History: Antenatal History Consanguinity: No Type of conception: Natural Natal and Postnatal History: Place of Birth: Institutional Mode of Delivery: NVD Gestational Age: FT Birth Weight: 3 Kg Cry at birth: Cried immediately after birth Resuscitation required: No NICU stay: No Past history: Hospitalization: No Seizures: No Investigations done- Hearing assessment: Not done Vision assessment: Not done Family history: Neuropsychiatric condition: No Developmental History: Gross Motor Neck holding: Achieved Age of attainment: 4 months Roll over: Achieved Age of attainment: 6 months Sitting without support: Achieved Age of attainment: 12 months Standing without support: Achieved Age of attainment: 18 months Walking without support: Achieved Age of attainment: 21 months Running: Achieved Age of attainment: Climbing upstairs: Achieved Age of attainment: Fine Motor Bidextrous grasp: Achieved Age of attainment: 4 months Unidextrous grasp: Achieved Age of attainment: 6 months Pincer grasp: Achieved Age of attainment: 12 months Scribbling: Achieved Age of attainment: Drinking from cup: Not achieved Buttoning / Unbuttoning: Not achieved Language Receptive:- Joint attention: Not achieved Pointing: Not achieved Understanding gestures: Not achieved Following commands: Not following Expressive:- Cooing: Achieved Age of attainment: 4 months Babbling: Achieved Age of attainment: 6 months Meaningful words: Not achieved Expressive:- Cooing: Achieved Age of attainment: 4 months Babbling: Achieved Age of attainment: 6 months Meaningful words: Not achieved Communication & Language Assessment Non-Verbal Communication Grading:- Need-based communication: Emerging Drag for needs: Emerging Joint attention: Absent Pointing: Absent Understanding gestures: Absent Following commands (gesture + verbal): Nil Answering Questions:- Echolalia: Present Social Social smile: Achieved Age of attainment: 2 months Stranger anxiety: Achieved Age of attainment: 8 months Waving bye bye: Not achieved Comes when called: Not achieved Response to Name Call Details: 1/10 Sitting tolerance- (in minutes) For interaction: 1-2 minutes ADL Skills (Age-appropriate)- Eating: 2. Started attempting Bathing: 2. Started attempting Toilet training: 1. Dependent Dressing: 1. Dependent Undressing: 1. Dependent Details:: Doesnt indicate Type of Play : 2. Isolated 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): 10-11 hours Afternoon nap: Yes Duration of Afternoon nap: 1-3 hours Sleep disturbances: No Daily Screen Time Duration: Zero Examination a. Vitals: b. Anthropometry: Weight: 15 Kg Height: 94 cm Head circumference: 49 cm c. General Examination Dysmorphology: Puffy eyes, maxillary prominence Neurocutaneous markers: Ab Others: Keeps predominantly open mouth d. CNS: Higher Mental Functions Sensory Examination Cranial Nerves (1–12) Neuromuscular Concerns Oromotor Examination Drooling: No Chewing: Proper Swallowing: Proper Blowing: Improper Sucking: Proper Examination summary: Mild Hypotonia CVS examination: NAD Respiratory System examination: NAD Per abdomen examination: NAD Impression: ? ASD Advice Intervention plan: Home Based Program 1/week Evaluation: DQ, ISAA, DSM5 ASD Investigations: x ray neck (lat view) to rule out adenoids Follow up plan: Every month General recommendation- Zero Screen Time Physical interactive play No Junk food

OPD : 01-Jul-2026 01:48PM Demographic Details

Child's Name: Aanya Dangi
Age: 2 Year 9 Month 26 Days
Gender: Female
DOB: 2023-09-05
Type of family: Nuclear
Number of family members: 3
Number of siblings: 0
Details of siblings (Age and sex): 0
Address: Delhi
Contact: 6387204421
Referred By: Doctor
Informant: Parents

Presenting Concerns

Chief concerns: Speech delay, poor response to name call
Duration of symptoms: Noticed since 2.5 years age

Interaction history:

Eye contact: Poor
Quality of Interaction: limited

Behavioral history:

Repetitive behaviors (RRBs): stimming, spinnin Patterned behavior or activities: Hyperactivity Inattention Impulsivity Object obsession Mouthing of objects
Sensory Concerns:

Auditory: Fear of loud sounds
Visual: Seeks visuals
Proprioception: Seeks pressure

Birth & Perinatal History: Antenatal History

Consanguinity: No
Type of conception: Natural

Natal and Postnatal History:

Place of Birth: Institutional
Mode of Delivery: NVD
Gestational Age: FT
Birth Weight: 3 Kg
Cry at birth: Cried immediately after birth
Resuscitation required: No
NICU stay: No

Past history:

Hospitalization: No Seizures: No

Investigations done-

Hearing assessment: Not done Vision assessment: Not done

Family history:

Neuropsychiatric condition: No

Developmental History:

Gross Motor

Neck holding: Achieved

Age of attainment: 4 months
Roll over: Achieved

Age of attainment: 6 months
Sitting without support: Achieved

Age of attainment: 12 months
Standing without support: Achieved

Age of attainment: 18 months
Walking without support: Achieved

Age of attainment: 21 months
Running: Achieved

Age of attainment:
Climbing upstairs: Achieved

Age of attainment:

Fine Motor

Bidextrous grasp: Achieved

Age of attainment: 4 months

Unidextrous grasp: Achieved

Age of attainment: 6 months

Pincer grasp: Achieved

Age of attainment: 12 months

Scribbling: Achieved

Age of attainment:

Drinking from cup: Not achieved

Buttoning / Unbuttoning: Not achieved

Language

Receptive:-

Joint attention: Not achieved
Pointing: Not achieved
Understanding gestures: Not achieved
Following commands: Not following

Expressive:-

Cooing: Achieved

Age of attainment: 4 months

Babbling: Achieved

Age of attainment: 6 months

Meaningful words: Not achieved

Expressive:-

Cooing: Achieved

Age of attainment: 4 months

Babbling: Achieved

Age of attainment: 6 months

Meaningful words: Not achieved

Communication & Language Assessment

Non-Verbal Communication Grading:-

Need-based communication: Emerging
Drag for needs: Emerging
Joint attention: Absent
Pointing: Absent
Understanding gestures: Absent
Following commands (gesture + verbal): Nil

Answering Questions:-

Echolalia: Present

Social

Social smile: Achieved

Age of attainment: 2 months
Stranger anxiety: Achieved

Age of attainment: 8 months
Waving bye bye: Not achieved
Comes when called: Not achieved

Response to Name Call

Details: 1/10

Sitting tolerance- (in minutes)

For interaction: 1-2 minutes

ADL Skills (Age-appropriate)-

Eating: 2. Started attempting
Bathing: 2. Started attempting
Toilet training: 1. Dependent
Dressing: 1. Dependent
Undressing: 1. Dependent

Details:: Doesnt indicate

Type of Play : 2. Isolated 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): 10-11 hours
Afternoon nap: Yes
Duration of Afternoon nap: 1-3 hours
Sleep disturbances: No

Daily Screen Time

Duration: Zero

Examination

a. Vitals:

b. Anthropometry:

Weight: 15 Kg Height: 94 cm Head circumference: 49 cm

c. General Examination

Dysmorphology: Puffy eyes, maxillary prominence Neurocutaneous markers: Ab Others: Keeps predominantly open mouth

d. CNS: Higher Mental Functions

Sensory Examination

Cranial Nerves (1–12)

Neuromuscular Concerns

Oromotor Examination

Drooling: No
Chewing: Proper
Swallowing: Proper
Blowing: Improper
Sucking: Proper

Examination summary: Mild Hypotonia CVS examination: NAD
Respiratory System examination: NAD
Per abdomen examination: NAD

Impression: ? ASD

Advice

Intervention plan: Home Based Program 1/week
Evaluation: DQ, ISAA, DSM5 ASD
Investigations: x ray neck (lat view) to rule out adenoids
Follow up plan: Every month
General recommendation-
1. Zero Screen Time
2. Physical interactive play
3. No Junk food

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