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OPD : 13-Apr-2026 01:24PM Demographic Details Child's Name: Anaija Shah Age: 4 Year Gender: Female DOB: 2022-04-10 Contact: 8871177040 Interaction history: Eye contact: Sustained Behavioral history: Temper tantrums Stubbornness Birth & Perinatal History: Antenatal History Natal and Postnatal History: Past history: Investigations done- Family history: Developmental History: Gross Motor Neck holding: Achieved Age of attainment: Roll over: Achieved Age of attainment: Sitting without support: Achieved Age of attainment: Standing without support: Not achieved Walking without support: Not achieved Fine Motor Bidextrous grasp: Achieved Age of attainment: Unidextrous grasp: Achieved Age of attainment: Pincer grasp: Not achieved Language Receptive:- Joint attention: Achieved Age of attainment: Expressive:- Communication & Language Assessment Non-Verbal Communication Grading:- Need-based communication: Absent Answering Questions:- Social Social smile: Achieved Age of attainment: Stranger anxiety: Achieved Age of attainment: Response to Name Call Sitting tolerance- (in minutes) ADL Skills (Age-appropriate)- Eating: 2. Started attempting Bathing: 1. Dependent Toilet training: 1. Dependent Dressing: 1. Dependent Undressing: 1. Dependent Type of Play : 3. Onlooker Academic History: Is child enrolled in school: No Diet History: Sleep History Total sleep duration (night): 10-11 hours Afternoon nap: Yes Sleep disturbances: No Daily Screen Time Duration: Zero Examination a. Vitals: b. Anthropometry: Weight: 9 Kg Height: 85 cm Head circumference: 48 cm c. General Examination Dysmorphology: B/l esotropia, inward slanting of eyes, pectus excavatum d. CNS: Higher Mental Functions Sensory Examination Cranial Nerves (1–12) Neuromuscular Concerns Motor delay: Gross motor and Fine motor Bulk of muscles: Generalised wasting Oromotor Examination CVS examination: NAD Respiratory System examination: NAD Per abdomen examination: NAD Impression: GDD Advice Intervention plan: IDP (+PT) 2/week General recommendation- Zero Screen Time Physical interactive play No Junk food

OPD : 13-Apr-2026 01:24PM Demographic Details

Child's Name: Anaija Shah
Age: 4 Year
Gender: Female
DOB: 2022-04-10
Contact: 8871177040

Interaction history:

Eye contact: Sustained

Behavioral history:

Temper tantrums Stubbornness

Birth & Perinatal History: Antenatal History

Natal and Postnatal History:

Past history:

Investigations done-

Family history:

Developmental History:

Gross Motor

Neck holding: Achieved

Age of attainment:
Roll over: Achieved

Age of attainment:
Sitting without support: Achieved

Age of attainment:
Standing without support: Not achieved
Walking without support: Not achieved

Fine Motor

Bidextrous grasp: Achieved

Age of attainment:

Unidextrous grasp: Achieved

Age of attainment:

Pincer grasp: Not achieved

Language

Receptive:-

Joint attention: Achieved

Age of attainment:

Expressive:-

Communication & Language Assessment

Non-Verbal Communication Grading:-

Need-based communication: Absent

Answering Questions:-

Social

Social smile: Achieved

Age of attainment:
Stranger anxiety: Achieved

Age of attainment:

Response to Name Call

Sitting tolerance- (in minutes)

ADL Skills (Age-appropriate)-

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

Type of Play : 3. Onlooker Academic History:

Is child enrolled in school: No

Diet History:

Sleep History

Total sleep duration (night): 10-11 hours
Afternoon nap: Yes
Sleep disturbances: No

Daily Screen Time

Duration: Zero

Examination

a. Vitals:

b. Anthropometry:

Weight: 9 Kg Height: 85 cm Head circumference: 48 cm

c. General Examination

Dysmorphology: B/l esotropia, inward slanting of eyes, pectus excavatum

d. CNS: Higher Mental Functions

Sensory Examination

Cranial Nerves (1–12)

Neuromuscular Concerns

Motor delay: Gross motor and Fine motor
Bulk of muscles: Generalised wasting

Oromotor Examination

CVS examination: NAD
Respiratory System examination: NAD
Per abdomen examination: NAD

Impression: GDD

Advice

Intervention plan: IDP (+PT) 2/week
General recommendation-
1. Zero Screen Time
2. Physical interactive play
3. No Junk food

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