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OPD : 12-May-2026 05:30PM Demographic Details Child's Name: Misty Sikarwar Age: 2 Year 7 Month 26 Days Gender: Female DOB: 2023-09-16 Mother’s age (years): 32 years Mother’s occupation: Homemaker Father’s age (years): 34 years Father’s occupation: Government job Type of family: Nuclear Number of family members: 4 Number of siblings: 1 Address: Anand Nagar Contact: 9754283400 Referred By: Doctor Informant: Parents Presenting Concerns Chief concerns: Speech delay Interaction history: Eye contact: Fleeting Quality of Interaction: limited Behavioral history: Repetitive behaviors (RRBs): Stimming, spinning Patterned behavior or activities: Inattention Impulsivity Object obsession Temper tantrums Stubbornness Sensory Concerns: Visual: Seeks visuals 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: Around 2 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: Done Details: Normal Family history: Neuropsychiatric condition: Yes Others: ? ID in paternal grandmother Developmental History: Gross Motor Neck holding: Achieved Age of attainment: 4 months Roll over: Achieved Age of attainment: 9 months Sitting without support: Achieved Age of attainment: 14 months Standing without support: Achieved Age of attainment: 20 months Walking without support: Achieved Age of attainment: 24 months Running: Achieved Age of attainment: Climbing upstairs: Achieved Age of attainment: Climbing downstairs: Achieved Age of attainment: Hopping: Not achieved 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: Not achieved Drinking from cup: 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: 9 months Babbling: Achieved Age of attainment: 12 months Meaningful words: Not achieved Expressive:- Cooing: Achieved Age of attainment: 9 months Babbling: Achieved Age of attainment: 12 months Meaningful words: Not achieved Communication & Language Assessment Non-Verbal Communication Grading:- Answering Questions:- Echolalia: Present Social Social smile: Achieved Age of attainment: 2 months Stranger anxiety: Achieved Age of attainment: 2 years Waving bye bye: Not achieved Response to Name Call Details: 5/10 Sitting tolerance- (in minutes) For interaction: doesnt sit For tasks: doesnt sit Details:: Likes messy play ADL Skills (Age-appropriate)- Eating: 1. Dependent Bathing: 1. Dependent Toilet training: 1. Dependent Dressing: 1. Dependent Undressing: 1. Dependent Type of Play : 2. Isolated Academic History: Is child enrolled in school: No Diet History: Food preferences: Eating cerelac only Food allergies: No Junk food intake: 1-2 times/week Sleep History Total sleep duration (night): 5-6 hours Afternoon nap: Yes Duration of Afternoon nap: 1-2 hours Sleep disturbances: No Daily Screen Time Duration: < 1 hour Type of screen: TV Examination a. Vitals: b. Anthropometry: c. General Examination d. CNS: Higher Mental Functions Sensory Examination Cranial Nerves (1–12) Neuromuscular Concerns Oromotor Examination Advice

OPD : 12-May-2026 05:30PM Demographic Details

Child's Name: Misty Sikarwar
Age: 2 Year 7 Month 26 Days
Gender: Female
DOB: 2023-09-16
Mother’s age (years): 32 years
Mother’s occupation: Homemaker
Father’s age (years): 34 years
Father’s occupation: Government job
Type of family: Nuclear
Number of family members: 4
Number of siblings: 1
Address: Anand Nagar
Contact: 9754283400
Referred By: Doctor
Informant: Parents

Presenting Concerns

Chief concerns: Speech delay

Interaction history:

Eye contact: Fleeting
Quality of Interaction: limited

Behavioral history:

Repetitive behaviors (RRBs): Stimming, spinning Patterned behavior or activities: Inattention Impulsivity Object obsession Temper tantrums Stubbornness
Sensory Concerns:

Visual: Seeks visuals

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: Around 2 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: Done Details: Normal

Family history:

Neuropsychiatric condition: Yes Others: ? ID in paternal grandmother

Developmental History:

Gross Motor

Neck holding: Achieved

Age of attainment: 4 months
Roll over: Achieved

Age of attainment: 9 months
Sitting without support: Achieved

Age of attainment: 14 months
Standing without support: Achieved

Age of attainment: 20 months
Walking without support: Achieved

Age of attainment: 24 months
Running: Achieved

Age of attainment:
Climbing upstairs: Achieved

Age of attainment:
Climbing downstairs: Achieved

Age of attainment:
Hopping: Not achieved

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: Not achieved

Drinking from cup: 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: 9 months

Babbling: Achieved

Age of attainment: 12 months

Meaningful words: Not achieved

Expressive:-

Cooing: Achieved

Age of attainment: 9 months

Babbling: Achieved

Age of attainment: 12 months

Meaningful words: Not achieved

Communication & Language Assessment

Non-Verbal Communication Grading:-

Answering Questions:-

Echolalia: Present

Social

Social smile: Achieved

Age of attainment: 2 months
Stranger anxiety: Achieved

Age of attainment: 2 years
Waving bye bye: Not achieved

Response to Name Call

Details: 5/10

Sitting tolerance- (in minutes)

For interaction: doesnt sit
For tasks: doesnt sit

Details:: Likes messy play

ADL Skills (Age-appropriate)-

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

Type of Play : 2. Isolated Academic History:

Is child enrolled in school: No

Diet History:

Food preferences: Eating cerelac only
Food allergies: No
Junk food intake: 1-2 times/week

Sleep History

Total sleep duration (night): 5-6 hours
Afternoon nap: Yes
Duration of Afternoon nap: 1-2 hours
Sleep disturbances: No

Daily Screen Time

Duration: < 1 hour
Type of screen: TV

Examination

a. Vitals:

b. Anthropometry:

c. General Examination

d. CNS: Higher Mental Functions

Sensory Examination

Cranial Nerves (1–12)

Neuromuscular Concerns

Oromotor Examination

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