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Patient Details


OPD : 23-May-2026 12:31PM Demographic Details Child's Name: Madhav Yadav Age: 3 Year 4 Month 9 Days Gender: Male DOB: 2022-12-25 Contact: 7898897842 Interaction history: Eye contact: Sustained Quality of Interaction: age-appropriate Behavioral history: Stubbornness 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:- Need-based communication: Consistent Drag for needs: Consistent Joint attention: Consistent Pointing: Consistent meaningful pointing Understanding gestures: Consistent Following commands (gesture + verbal): 1-step Answering Questions:- Social Response to Name Call Sitting tolerance- (in minutes) For interaction: Improved For tasks: Improved ADL Skills (Age-appropriate)- Type of Play : 5. Associative Academic History: Is child enrolled in school: No Diet History: Food preferences: Mixed Food allergies: No Sleep History Total sleep duration (night): 10 hours Afternoon nap: Yes Duration of Afternoon nap: 2 hours Sleep disturbances: No Daily Screen Time Duration: Zero Examination a. Vitals: b. Anthropometry: 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 Advice Intervention plan: LDP 2/week + PMT 1/month Medications: Syp IQ norm DHA 5ml OD General recommendation- Zero Screen Time Physical interactive play No Junk food

OPD : 23-May-2026 12:31PM Demographic Details

Child's Name: Madhav Yadav
Age: 3 Year 4 Month 9 Days
Gender: Male
DOB: 2022-12-25
Contact: 7898897842

Interaction history:

Eye contact: Sustained
Quality of Interaction: age-appropriate

Behavioral history:

Stubbornness

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:-

Need-based communication: Consistent
Drag for needs: Consistent
Joint attention: Consistent
Pointing: Consistent meaningful pointing
Understanding gestures: Consistent
Following commands (gesture + verbal): 1-step

Answering Questions:-

Social

Response to Name Call

Sitting tolerance- (in minutes)

For interaction: Improved
For tasks: Improved

ADL Skills (Age-appropriate)-

Type of Play : 5. Associative Academic History:

Is child enrolled in school: No

Diet History:

Food preferences: Mixed
Food allergies: No

Sleep History

Total sleep duration (night): 10 hours
Afternoon nap: Yes
Duration of Afternoon nap: 2 hours
Sleep disturbances: No

Daily Screen Time

Duration: Zero

Examination

a. Vitals:

b. Anthropometry:

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

Advice

Intervention plan: LDP 2/week + PMT 1/month
Medications: Syp IQ norm DHA 5ml OD
General recommendation-
1. Zero Screen Time
2. Physical interactive play
3. No Junk food

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