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Demographic Details Child's Name: Amar Age: 12 Year 7 Month 15 Days Gender: Male DOB: 2013-06-13 Mother’s age (years): 40 Mother’s education: Graduate Mother’s occupation: na Father’s age (years): 42 Father’s education: Post Graduate Type of family: Joint Contact: 09827095546 Behavioral history: Academic Concerns: Difficulty in reading Incomplete notebooks 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:- Social Response to Name Call Sitting tolerance- (in minutes) ADL Skills (Age-appropriate)- Academic History: Diet History: Examination a. Vitals: b. Anthropometry: c. General Examination d. CNS: Higher Mental Functions Sensory Examination Cranial Nerves (1–12) Neuromuscular Concerns Oromotor Examination Advice General recommendation- Zero Screen Time Physical interactive play

Demographic Details

Behavioral history:

Academic Concerns:
Difficulty in reading Incomplete notebooks

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:-

Social

Response to Name Call

Sitting tolerance- (in minutes)

ADL Skills (Age-appropriate)-

Academic History:

Diet History:

Examination

a. Vitals:

b. Anthropometry:

c. General Examination

d. CNS: Higher Mental Functions

Sensory Examination

Cranial Nerves (1–12)

Neuromuscular Concerns

Oromotor Examination

Advice

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