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OPD : 13-Jun-2026 01:31PM Demographic Details Child's Name: Shivansh Singh Tomar Age: 2 Year 4 Month 11 Days Gender: Male DOB: 2024-02-02 Contact: 9806709042 Interaction history: Eye contact: Fleeting Interaction: Improved with parents Quality of Interaction: limited Behavioral history: Hyperactivity Inattention Temper tantrums Stubbornness Sensory Concerns: Auditory: Hypersensitive Proprioception: Seeks pressure 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:- Answering Questions:- Echolalia: Present Social Response to Name Call Details: 7/10 Sitting tolerance- (in minutes) For interaction: 2 minutes For tasks: More for tasks ADL Skills (Age-appropriate)- Eating: 2. Started attempting Bathing: 2. Started attempting Toilet training: 1. Dependent Dressing: 1. Dependent Undressing: 1. Dependent Type of Play : 2. Isolated Outdoor play duration: 2 hours Academic History: Is child enrolled in school: No Diet History: Food preferences: Mixed Food allergies: No Junk food intake: No Sleep History Total sleep duration (night): 9-10 hours Afternoon nap: Yes Duration of Afternoon nap: 1 to 1:30 hours Sleep disturbances: No Daily Screen Time Duration: Zero Examination a. Vitals: b. Anthropometry: Weight: 12.35Kg c. General Examination Dysmorphology: Ab Neurocutaneous markers: Ab d. CNS: Higher Mental Functions Sensory Examination Cranial Nerves (1–12) Neuromuscular Concerns Oromotor Examination CVS examination: NAD Respiratory System examination: NAD Per abdomen examination: NAD Advice Intervention plan: IDP 2/week + PMT 1/week Follow up plan: every month General recommendation- Zero Screen Time Physical interactive play No Junk food

OPD : 13-Jun-2026 01:31PM Demographic Details

Child's Name: Shivansh Singh Tomar
Age: 2 Year 4 Month 11 Days
Gender: Male
DOB: 2024-02-02
Contact: 9806709042

Interaction history:

Eye contact: Fleeting
Interaction: Improved with parents
Quality of Interaction: limited

Behavioral history:

Hyperactivity Inattention Temper tantrums Stubbornness
Sensory Concerns:

Auditory: Hypersensitive
Proprioception: Seeks pressure

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:-

Answering Questions:-

Echolalia: Present

Social

Response to Name Call

Details: 7/10

Sitting tolerance- (in minutes)

For interaction: 2 minutes
For tasks: More for tasks

ADL Skills (Age-appropriate)-

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

Type of Play : 2. Isolated Outdoor play duration: 2 hours Academic History:

Is child enrolled in school: No

Diet History:

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

Sleep History

Total sleep duration (night): 9-10 hours
Afternoon nap: Yes
Duration of Afternoon nap: 1 to 1:30 hours
Sleep disturbances: No

Daily Screen Time

Duration: Zero

Examination

a. Vitals:

b. Anthropometry:

Weight: 12.35Kg

c. General Examination

Dysmorphology: Ab Neurocutaneous markers: Ab

d. CNS: Higher Mental Functions

Sensory Examination

Cranial Nerves (1–12)

Neuromuscular Concerns

Oromotor Examination

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

Advice

Intervention plan: IDP 2/week + PMT 1/week
Follow up plan: every month
General recommendation-
1. Zero Screen Time
2. Physical interactive play
3. No Junk food

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