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OPD : 29-Jun-2026 05:04PM Demographic Details Child's Name: Abhibhav Mishra Age: 12 Year 6 Month 18 Days Gender: Male DOB: 2013-12-11 Type of family: Joint Number of siblings: 1 Details of siblings (Age and sex): 10 year old male Address: Orai Contact: 9450014572 Referred By: Relative Informant: Father, uncle Presenting Concerns Chief concerns: Short stature Interaction history: Eye contact: Sustained Quality of Interaction: age-appropriate Behavioral history: 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: not known Cry at birth: Cried immediately after birth Resuscitation required: No NICU stay: No Past history: Hospitalization: Yes Seizures: No Others: Breath holding spells- 2 episodes Investigations done- Hearing assessment: Not done Vision assessment: Done Details: Refractive errors. Wearing glasses since 5 years age Family history: Neuropsychiatric condition: No Developmental History: Gross Motor Neck holding: Roll over: Walking without support: Achieved Age of attainment: 12 months Fine Motor Pincer grasp: Achieved Age of attainment: 12 months Language Expressive:- Meaningful words: Achieved Age of attainment: 12 months 2 word Phrases: Achieved Age of attainment: 18 months Complete sentences: Achieved Age of attainment: 2 years Expressive:- Meaningful words: Achieved Age of attainment: 12 months 2 word Phrases: Achieved Age of attainment: 18 months Complete sentences: Achieved Age of attainment: 2 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): 3-step Answering Questions:- Social Social smile: Achieved Age of attainment: Stranger anxiety: Achieved Age of attainment: Waving bye bye: Achieved Age of attainment: 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 Sitting tolerance- (in minutes) ADL Skills (Age-appropriate)- Eating: 5. Independent Bathing: 5. Independent Toilet training: 5. Independent Dressing: 5. Independent Undressing: 5. Independent Type of Play : 6. Cooperative Academic History: Is child enrolled in school: Yes Type of school: Regular Name of School: Morning Star School Grade: 5 Hours spent in school: 7 hours Board: CBSE Location: Orai Diet History: Food preferences: Mixed Food allergies: No Junk food intake: Occasional Sleep History Total sleep duration (night): 9 hours Afternoon nap: No Sleep disturbances: No Daily Screen Time Duration: > 5 hours Type of screen: Mobile and TV Examination a. Vitals: b. Anthropometry: Weight: 25 Kg Height: 129 cm Head circumference: 51 cm c. General Examination Dysmorphology: Widely spaced teeth, high hypermyopia (since birth), operated for tongue tie Neurocutaneous markers: Ab d. CNS: Higher Mental Functions Consciousness: Conscious Orientation: Oriented 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: Stunting, Underweight Advice Evaluation: Bone age estimation Investigations: CBC, ESR, LFT, RFT, Serum electrolytes, Ca, Vitamin D Phosphorus, alkaline phosphatase, TSH, free T4. free T3. General recommendation- Zero Screen Time Physical interactive play No Junk food

OPD : 29-Jun-2026 05:04PM Demographic Details

Child's Name: Abhibhav Mishra
Age: 12 Year 6 Month 18 Days
Gender: Male
DOB: 2013-12-11
Type of family: Joint
Number of siblings: 1
Details of siblings (Age and sex): 10 year old male
Address: Orai
Contact: 9450014572
Referred By: Relative
Informant: Father, uncle

Presenting Concerns

Chief concerns: Short stature

Interaction history:

Eye contact: Sustained
Quality of Interaction: age-appropriate

Behavioral history:

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: not known
Cry at birth: Cried immediately after birth
Resuscitation required: No
NICU stay: No

Past history:

Hospitalization: Yes Seizures: No Others: Breath holding spells- 2 episodes

Investigations done-

Hearing assessment: Not done Vision assessment: Done Details: Refractive errors. Wearing glasses since 5 years age

Family history:

Neuropsychiatric condition: No

Developmental History:

Gross Motor

Neck holding:
Roll over:
Walking without support: Achieved

Age of attainment: 12 months

Fine Motor

Pincer grasp: Achieved

Age of attainment: 12 months

Language

Expressive:-

Meaningful words: Achieved

Age of attainment: 12 months

2 word Phrases: Achieved

Age of attainment: 18 months

Complete sentences: Achieved

Age of attainment: 2 years

Expressive:-

Meaningful words: Achieved

Age of attainment: 12 months

2 word Phrases: Achieved

Age of attainment: 18 months

Complete sentences: Achieved

Age of attainment: 2 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): 3-step

Answering Questions:-

Social

Social smile: Achieved

Age of attainment:
Stranger anxiety: Achieved

Age of attainment:
Waving bye bye: Achieved

Age of attainment:
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

Sitting tolerance- (in minutes)

ADL Skills (Age-appropriate)-

Eating: 5. Independent
Bathing: 5. Independent
Toilet training: 5. Independent
Dressing: 5. Independent
Undressing: 5. Independent

Type of Play : 6. Cooperative Academic History:

Is child enrolled in school: Yes
Type of school: Regular
Name of School: Morning Star School
Grade: 5
Hours spent in school: 7 hours
Board: CBSE
Location: Orai

Diet History:

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

Sleep History

Total sleep duration (night): 9 hours
Afternoon nap: No
Sleep disturbances: No

Daily Screen Time

Duration: > 5 hours
Type of screen: Mobile and TV

Examination

a. Vitals:

b. Anthropometry:

Weight: 25 Kg Height: 129 cm Head circumference: 51 cm

c. General Examination

Dysmorphology: Widely spaced teeth, high hypermyopia (since birth), operated for tongue tie Neurocutaneous markers: Ab

d. CNS: Higher Mental Functions

Consciousness: Conscious
Orientation: Oriented

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: Stunting, Underweight

Advice

Evaluation: Bone age estimation
Investigations: CBC, ESR, LFT, RFT, Serum electrolytes, Ca, Vitamin D Phosphorus, alkaline phosphatase, TSH, free T4. free T3.
General recommendation-
1. Zero Screen Time
2. Physical interactive play
3. No Junk food

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