Create - Child Development Centre

Patient Details


OPD : 22-May-2026 05:00PM Demographic Details Child's Name: Ansh Agrawal Age: 12 Year 10 Month 19 Days Gender: Male DOB: 2013-07-03 Type of family: Joint Number of family members: 5 Number of siblings: 0 Address: Anand Nagar Contact: 8770327188 Referred By: Healthcare worker Informant: Parents Presenting Concerns Chief concerns: Understanding not as per age, poor acdemics Duration of symptoms: Since early infancy Interaction history: Eye contact: Suboptimal Quality of Interaction: age-appropriate Behavioral history: Inattention Impulsivity Stubbornness Aggression Birth & Perinatal History: Antenatal History Consanguinity: No Type of conception: Natural Others:: At 8th month - Varicella infection Natal and Postnatal History: Place of Birth: Institutional Mode of Delivery: LSCS Indication for LSCS (if applicable): Non progression of labor Gestational Age: FT Birth Weight: Not known Cry at birth: Cried immediately after birth Resuscitation required: No NICU stay: No Past history: Hospitalization: Yes Seizures: Yes Others: 1st episode of seizure (GTCS), prededed by fever, f/b LOC at 1 year age- was ventilated. Multiple epidodes. Lsst episode 6 year back. Past/Current medications: Was on valparin. Currently Tab Levetira 500mg 1 tab OD, T. Magprol CR 200 mg 1BD., T. Cloma 10mg tab 1 HS. T. Thyronorm 50mcg 1 OD Investigations done- Hearing assessment: Not done Vision assessment: Not done Family history: Neuropsychiatric condition: Yes Others: H/o epilepsy in father and mother Developmental History: Gross Motor Neck holding: Achieved Age of attainment: 4 months Roll over: Achieved Age of attainment: 5 months Sitting without support: Achieved Age of attainment: 7 months Standing without support: Achieved Age of attainment: 9 months Walking without support: Achieved Age of attainment: 12 months Running: Achieved Age of attainment: Climbing upstairs: Achieved Age of attainment: Climbing downstairs: 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: Achieved Age of attainment: Buttoning / Unbuttoning: Not achieved Language Receptive:- Joint attention: Achieved Age of attainment: 9 months Pointing: Achieved Age of attainment: 12 months Following commands: 1-step Expressive:- Cooing: Achieved Age of attainment: 4 months Babbling: Achieved Age of attainment: 6 months Meaningful words: Achieved Age of attainment: 12 months 2 word Phrases: Achieved Age of attainment: 18 months Complete sentences: Achieved Age of attainment: 3 years Expressive:- Cooing: Achieved Age of attainment: 4 months Babbling: Achieved Age of attainment: 6 months Meaningful words: Achieved Age of attainment: 12 months 2 word Phrases: Achieved Age of attainment: 18 months Complete sentences: Achieved Age of attainment: 3 years Communication & Language Assessment Non-Verbal Communication Grading:- Need-based communication: Consistent Drag for needs: Consistent Joint attention: Consistent Pointing: Consistent meaningful pointing Understanding gestures: Consistent Following commands (gesture + verbal): 1-step Answering Questions:- What Where Who Patterned speech: Present Social Social smile: Achieved Age of attainment: 2 months Stranger anxiety: Achieved Age of attainment: 8 months Waving bye bye: Achieved Age of attainment: 9 months Comes when called: Achieved Age of attainment: Copying parents in tasks: Achieved Age of attainment: Asking for food and toilet: Achieved Age of attainment: Response to Name Call Details: 10/10 Sitting tolerance- (in minutes) For interaction: can sit for long hours but fidgets ADL Skills (Age-appropriate)- Eating: 5. Independent Bathing: 4. Needs minimal assistance Toilet training: 5. Independent Dressing: 4. Needs minimal assistance Undressing: 4. Needs minimal assistance Details:: Can tie shoe lace and button/unbutton Type of Play : 4. Parallel Outdoor play duration: Nil Details:: Cricket, likes doing HHCs Academic History: Is child enrolled in school: Yes Type of school: Special Name of School: Amar Jyoti Hours spent in school: 6 hours Board: Other Location: Jalalpur, Gwalior Diet History: Food preferences: Mixed Food allergies: No Junk food intake: Occasional Sleep History Total sleep duration (night): 8 hours Afternoon nap: Yes Duration of Afternoon nap: 2 hours Sleep disturbances: No Daily Screen Time Duration: > 2 hours Type of screen: Mobile and TV Examination a. Vitals: b. Anthropometry: Weight: 42 Kg Height: 143 cm Head circumference: 50.5 cm c. General Examination Dysmorphology: Ab Neurocutaneous markers: Ab 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 Examination summary: ID CVS examination: NAD Respiratory System examination: NAD Per abdomen examination: NAD Impression: ID Advice Intervention plan: IEP 2/week + PMT 1/15 days Evaluation: Academic assessment Follow up plan: After 1 month General recommendation- Zero Screen Time Physical interactive play No Junk food No focus on academics at present

OPD : 22-May-2026 05:00PM Demographic Details

Child's Name: Ansh Agrawal
Age: 12 Year 10 Month 19 Days
Gender: Male
DOB: 2013-07-03
Type of family: Joint
Number of family members: 5
Number of siblings: 0
Address: Anand Nagar
Contact: 8770327188
Referred By: Healthcare worker
Informant: Parents

Presenting Concerns

Chief concerns: Understanding not as per age, poor acdemics
Duration of symptoms: Since early infancy

Interaction history:

Eye contact: Suboptimal
Quality of Interaction: age-appropriate

Behavioral history:

Inattention Impulsivity Stubbornness Aggression

Birth & Perinatal History: Antenatal History

Consanguinity: No
Type of conception: Natural
Others:: At 8th month - Varicella infection

Natal and Postnatal History:

Place of Birth: Institutional
Mode of Delivery: LSCS
Indication for LSCS (if applicable): Non progression of labor
Gestational Age: FT
Birth Weight: Not known
Cry at birth: Cried immediately after birth
Resuscitation required: No
NICU stay: No

Past history:

Hospitalization: Yes Seizures: Yes Others: 1st episode of seizure (GTCS), prededed by fever, f/b LOC at 1 year age- was ventilated. Multiple epidodes. Lsst episode 6 year back.

Past/Current medications: Was on valparin. Currently Tab Levetira 500mg 1 tab OD, T. Magprol CR 200 mg 1BD., T. Cloma 10mg tab 1 HS. T. Thyronorm 50mcg 1 OD Investigations done-

Hearing assessment: Not done Vision assessment: Not done

Family history:

Neuropsychiatric condition: Yes Others: H/o epilepsy in father and mother

Developmental History:

Gross Motor

Neck holding: Achieved

Age of attainment: 4 months
Roll over: Achieved

Age of attainment: 5 months
Sitting without support: Achieved

Age of attainment: 7 months
Standing without support: Achieved

Age of attainment: 9 months
Walking without support: Achieved

Age of attainment: 12 months
Running: Achieved

Age of attainment:
Climbing upstairs: Achieved

Age of attainment:
Climbing downstairs: 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: Achieved

Age of attainment:

Buttoning / Unbuttoning: Not achieved

Language

Receptive:-

Joint attention: Achieved

Age of attainment: 9 months
Pointing: Achieved

Age of attainment: 12 months
Following commands: 1-step

Expressive:-

Cooing: Achieved

Age of attainment: 4 months

Babbling: Achieved

Age of attainment: 6 months

Meaningful words: Achieved

Age of attainment: 12 months

2 word Phrases: Achieved

Age of attainment: 18 months

Complete sentences: Achieved

Age of attainment: 3 years

Expressive:-

Cooing: Achieved

Age of attainment: 4 months

Babbling: Achieved

Age of attainment: 6 months

Meaningful words: Achieved

Age of attainment: 12 months

2 word Phrases: Achieved

Age of attainment: 18 months

Complete sentences: Achieved

Age of attainment: 3 years

Communication & Language Assessment

Non-Verbal Communication Grading:-

Need-based communication: Consistent
Drag for needs: Consistent
Joint attention: Consistent
Pointing: Consistent meaningful pointing
Understanding gestures: Consistent
Following commands (gesture + verbal): 1-step

Answering Questions:-

What Where Who Patterned speech: Present

Social

Social smile: Achieved

Age of attainment: 2 months
Stranger anxiety: Achieved

Age of attainment: 8 months
Waving bye bye: Achieved

Age of attainment: 9 months
Comes when called: Achieved

Age of attainment:
Copying parents in tasks: Achieved

Age of attainment:
Asking for food and toilet: Achieved

Age of attainment:

Response to Name Call

Details: 10/10

Sitting tolerance- (in minutes)

For interaction: can sit for long hours but fidgets

ADL Skills (Age-appropriate)-

Eating: 5. Independent
Bathing: 4. Needs minimal assistance
Toilet training: 5. Independent
Dressing: 4. Needs minimal assistance
Undressing: 4. Needs minimal assistance

Details:: Can tie shoe lace and button/unbutton

Type of Play : 4. Parallel Outdoor play duration: Nil Details:: Cricket, likes doing HHCs Academic History:

Is child enrolled in school: Yes
Type of school: Special
Name of School: Amar Jyoti
Hours spent in school: 6 hours
Board: Other
Location: Jalalpur, Gwalior

Diet History:

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

Sleep History

Total sleep duration (night): 8 hours
Afternoon nap: Yes
Duration of Afternoon nap: 2 hours
Sleep disturbances: No

Daily Screen Time

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

Examination

a. Vitals:

b. Anthropometry:

Weight: 42 Kg Height: 143 cm Head circumference: 50.5 cm

c. General Examination

Dysmorphology: Ab Neurocutaneous markers: Ab

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

Examination summary: ID CVS examination: NAD
Respiratory System examination: NAD
Per abdomen examination: NAD

Impression: ID

Advice

Intervention plan: IEP 2/week + PMT 1/15 days
Evaluation: Academic assessment
Follow up plan: After 1 month
General recommendation-
1. Zero Screen Time
2. Physical interactive play
3. No Junk food
4. No focus on academics at present

Setting Panel

Select Layout

Light Dark

Sidebar Color

Color Theme

Mini Sidebar

Sticky Header

Patient Details print

Select Layout

Sidebar Color

Color Theme

Patient Details