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OPD : 18-Jul-2026 03:23PM Demographic Details Child's Name: Yuvans Sharma Age: 5 Year Gender: Male DOB: 2021-06-24 Mother’s age (years): 36 years Mother’s occupation: Homemaker Father’s age (years): 41 years Father’s occupation: Sales Type of family: Nuclear Number of family members: 4 Number of siblings: 1 Details of siblings (Age and sex): 12 years female Address: Delhi Contact: 8799733386 Referred By: Doctor Informant: Parents Presenting Concerns Chief concerns: Behavioral concerns, speech delay Interaction history: Eye contact: Fleeting Quality of Interaction: limited Behavioral history: Repetitive behaviors (RRBs): Hand flapping Patterned behavior or activities: Hyperactivity Inattention Impulsivity Insisting on sameness Temper tantrums Stubbornness Sensory Concerns: Tactile: Hyposensitive Proprioception: Seeks pressure Vestibular: Seeks movement Details:: afraid of darkness 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: 3.15 Kg Cry at birth: Cried immediately after birth Resuscitation required: No NICU stay: No Past history: Hospitalization: No Seizures: No Past/Current therapies: Nil Past/Current medications: Nil 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: 5 months Sitting without support: Achieved Age of attainment: 7 months Standing without support: Achieved Age of attainment: 12 month Walking without support: Achieved Age of attainment: 3 years 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: Achieved Age of attainment: Language Receptive:- Joint attention: Achieved Age of attainment: 12 months Pointing: Achieved Age of attainment: 3 years Understanding gestures: Achieved Age of attainment: 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: 3 years 2 word Phrases: Achieved Age of attainment: Expressive:- Cooing: Achieved Age of attainment: 4 months Babbling: Achieved Age of attainment: 6 months Meaningful words: Achieved Age of attainment: 3 years 2 word Phrases: Achieved Age of attainment: Details:: 2 word phrases for basic needs. Communication & Language Assessment Non-Verbal Communication Grading:- Need-based communication: Consistent Drag for needs: Consistent Joint attention: Consistent Pointing: Consistent meaningful pointing Answering Questions:- Echolalia: Present Patterned speech: Present Social Social smile: Achieved Age of attainment: 2 months Stranger anxiety: Achieved Age of attainment: 8 months Comes when called: Achieved Age of attainment: 9 months Copying parents in tasks: Achieved Age of attainment: Response to Name Call Sitting tolerance- (in minutes) For interaction: Doesnt sit For tasks: 2 minutes ADL Skills (Age-appropriate)- Eating: 4. Needs minimal assistance Bathing: 4. Needs minimal assistance Toilet training: 2. Started attempting Dressing: 4. Needs minimal assistance Undressing: 4. Needs minimal assistance Details:: Passes stools in standing position Type of Play : 2. Isolated Academic History: Is child enrolled in school: No Additional information: Went to school for 2 years 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: 2-3 hours Daily Screen Time Duration: Zero Examination a. Vitals: b. Anthropometry: Weight: 17.35 Kg Height: 105 cm Head circumference: 50 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 CVS examination: NAD Respiratory System examination: NAD Per abdomen examination: NAD Impression: social communcation delay Advice Evaluation: DQ, ISAA General recommendation- Zero Screen Time Physical interactive play No Junk food

OPD : 18-Jul-2026 03:23PM Demographic Details

Child's Name: Yuvans Sharma
Age: 5 Year
Gender: Male
DOB: 2021-06-24
Mother’s age (years): 36 years
Mother’s occupation: Homemaker
Father’s age (years): 41 years
Father’s occupation: Sales
Type of family: Nuclear
Number of family members: 4
Number of siblings: 1
Details of siblings (Age and sex): 12 years female
Address: Delhi
Contact: 8799733386
Referred By: Doctor
Informant: Parents

Presenting Concerns

Chief concerns: Behavioral concerns, speech delay

Interaction history:

Eye contact: Fleeting
Quality of Interaction: limited

Behavioral history:

Repetitive behaviors (RRBs): Hand flapping Patterned behavior or activities: Hyperactivity Inattention Impulsivity Insisting on sameness Temper tantrums Stubbornness
Sensory Concerns:

Tactile: Hyposensitive
Proprioception: Seeks pressure
Vestibular: Seeks movement

Details:: afraid of darkness

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: 3.15 Kg
Cry at birth: Cried immediately after birth
Resuscitation required: No
NICU stay: No

Past history:

Hospitalization: No Seizures: No

Past/Current therapies: Nil Past/Current medications: Nil 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: 5 months
Sitting without support: Achieved

Age of attainment: 7 months
Standing without support: Achieved

Age of attainment: 12 month
Walking without support: Achieved

Age of attainment: 3 years
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: Achieved

Age of attainment:

Language

Receptive:-

Joint attention: Achieved

Age of attainment: 12 months
Pointing: Achieved

Age of attainment: 3 years
Understanding gestures: Achieved

Age of attainment:
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: 3 years

2 word Phrases: Achieved

Age of attainment:

Expressive:-

Cooing: Achieved

Age of attainment: 4 months

Babbling: Achieved

Age of attainment: 6 months

Meaningful words: Achieved

Age of attainment: 3 years

2 word Phrases: Achieved

Age of attainment:

Details:: 2 word phrases for basic needs.

Communication & Language Assessment

Non-Verbal Communication Grading:-

Need-based communication: Consistent
Drag for needs: Consistent
Joint attention: Consistent
Pointing: Consistent meaningful pointing

Answering Questions:-

Echolalia: Present Patterned speech: Present

Social

Social smile: Achieved

Age of attainment: 2 months
Stranger anxiety: Achieved

Age of attainment: 8 months
Comes when called: Achieved

Age of attainment: 9 months
Copying parents in tasks: Achieved

Age of attainment:

Response to Name Call

Sitting tolerance- (in minutes)

For interaction: Doesnt sit
For tasks: 2 minutes

ADL Skills (Age-appropriate)-

Eating: 4. Needs minimal assistance
Bathing: 4. Needs minimal assistance
Toilet training: 2. Started attempting
Dressing: 4. Needs minimal assistance
Undressing: 4. Needs minimal assistance

Details:: Passes stools in standing position

Type of Play : 2. Isolated Academic History:

Is child enrolled in school: No
Additional information: Went to school for 2 years

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: 2-3 hours

Daily Screen Time

Duration: Zero

Examination

a. Vitals:

b. Anthropometry:

Weight: 17.35 Kg Height: 105 cm Head circumference: 50 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

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

Impression: social communcation delay

Advice

Evaluation: DQ, ISAA
General recommendation-
1. Zero Screen Time
2. Physical interactive play
3. No Junk food

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