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Patient Details


OPD : 04-Apr-2026 11:21AM Demographic Details Child's Name: Shivam Mittal Age: 8 Month 6 Days Gender: Male DOB: 2025-06-13 Contact: 7828262942 Behavioral history: Birth & Perinatal History: Antenatal History Natal and Postnatal History: Past history: Investigations done- Family history: Developmental History: Gross Motor Neck holding: Achieved Age of attainment: Partial Fine Motor Language Expressive:- Cooing: Achieved Age of attainment: Expressive:- Cooing: Achieved Age of attainment: 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: Food preferences: Mixed diet Daily Screen Time Duration: Zero Examination a. Vitals: b. Anthropometry: Height: 67 cm Head circumference: 34 cm c. General Examination d. CNS: Higher Mental Functions Sensory Examination Cranial Nerves (1–12) Neuromuscular Concerns Oromotor Examination Drooling: Yes Chewing: Improper Swallowing: Improper Examination summary: On pull to sit- neck holding improved, prone- lifts head up to 45-60 degree. Fisting reduced. Initiating rollover upto mid range. Emerging visual tracking abilities. CVS examination: NAD Respiratory System examination: NAD Per abdomen examination: NAD Advice Intervention plan: IDP (+PT) 6/week Medications: Syp Baclof (5mg/5ml) 0.8 ml TDS Follow up plan: Review after 1 mon General recommendation- Zero Screen Time Physical interactive play No Junk food

OPD : 04-Apr-2026 11:21AM Demographic Details

Child's Name: Shivam Mittal
Age: 8 Month 6 Days
Gender: Male
DOB: 2025-06-13
Contact: 7828262942

Behavioral history:

Birth & Perinatal History: Antenatal History

Natal and Postnatal History:

Past history:

Investigations done-

Family history:

Developmental History:

Gross Motor

Neck holding: Achieved

Age of attainment: Partial

Fine Motor

Language

Expressive:-

Cooing: Achieved

Age of attainment:

Expressive:-

Cooing: Achieved

Age of attainment:

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:

Food preferences: Mixed diet

Daily Screen Time

Duration: Zero

Examination

a. Vitals:

b. Anthropometry:

Height: 67 cm Head circumference: 34 cm

c. General Examination

d. CNS: Higher Mental Functions

Sensory Examination

Cranial Nerves (1–12)

Neuromuscular Concerns

Oromotor Examination

Drooling: Yes
Chewing: Improper
Swallowing: Improper

Examination summary: On pull to sit- neck holding improved, prone- lifts head up to 45-60 degree. Fisting reduced. Initiating rollover upto mid range. Emerging visual tracking abilities. CVS examination: NAD
Respiratory System examination: NAD
Per abdomen examination: NAD

Advice

Intervention plan: IDP (+PT) 6/week
Medications: Syp Baclof (5mg/5ml) 0.8 ml TDS
Follow up plan: Review after 1 mon
General recommendation-
1. Zero Screen Time
2. Physical interactive play
3. No Junk food

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