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OPD : 16-Jun-2026 10:31AM Demographic Details Child's Name: Kartikey Rawat Age: 2 Year 3 Month 21 Days Gender: Male DOB: 2024-01-24 Contact: 8516803913 Interaction history: Eye contact: Sustained Quality of Interaction: limited Behavioral history: Stubbornness Mouthing of objects Sensory Concerns: Auditory: Fear of loud sounds Visual: Seeks visuals 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) Details:: Started standing wu=ith support for few seconds ADL Skills (Age-appropriate)- Eating: 2. Started attempting Bathing: 1. Dependent Toilet training: 1. Dependent Dressing: 1. Dependent Undressing: 1. Dependent Type of Play : 4. Parallel Academic History: Diet History: Food preferences: Mixed. Bottlefeeding+ Food allergies: No Junk food intake: Nil Sleep History Total sleep duration (night): 9-10 hours Afternoon nap: No Duration of Afternoon nap: 3-4 hours Daily Screen Time Duration: > 2 hours Type of screen: Mobile and TV Examination a. Vitals: b. Anthropometry: Head circumference: 43.5 cm c. General Examination d. CNS: Higher Mental Functions Sensory Examination Cranial Nerves (1–12) Neuromuscular Concerns Oromotor Examination Drooling: Yes Chewing: Proper Swallowing: Proper Blowing: Proper Sucking: Improper CVS examination: NAD Respiratory System examination: NAD Per abdomen examination: NAD Impression: Downs syndrome Advice Intervention plan: IDP + PT 5/week + PMT 1/month Medications: Syp Histafer (30mg/5ml) 2.5 ml BD Follow up plan: Review after 1 month General recommendation- Zero Screen Time Physical interactive play No Junk food

OPD : 16-Jun-2026 10:31AM Demographic Details

Child's Name: Kartikey Rawat
Age: 2 Year 3 Month 21 Days
Gender: Male
DOB: 2024-01-24
Contact: 8516803913

Interaction history:

Eye contact: Sustained
Quality of Interaction: limited

Behavioral history:

Stubbornness Mouthing of objects
Sensory Concerns:

Auditory: Fear of loud sounds
Visual: Seeks visuals

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)

Details:: Started standing wu=ith support for few seconds

ADL Skills (Age-appropriate)-

Eating: 2. Started attempting
Bathing: 1. Dependent
Toilet training: 1. Dependent
Dressing: 1. Dependent
Undressing: 1. Dependent

Type of Play : 4. Parallel Academic History:

Diet History:

Food preferences: Mixed. Bottlefeeding+
Food allergies: No
Junk food intake: Nil

Sleep History

Total sleep duration (night): 9-10 hours
Afternoon nap: No
Duration of Afternoon nap: 3-4 hours

Daily Screen Time

Duration: > 2 hours
Type of screen: Mobile and TV

Examination

a. Vitals:

b. Anthropometry:

Head circumference: 43.5 cm

c. General Examination

d. CNS: Higher Mental Functions

Sensory Examination

Cranial Nerves (1–12)

Neuromuscular Concerns

Oromotor Examination

Drooling: Yes
Chewing: Proper
Swallowing: Proper
Blowing: Proper
Sucking: Improper

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

Impression: Downs syndrome

Advice

Intervention plan: IDP + PT 5/week + PMT 1/month
Medications: Syp Histafer (30mg/5ml) 2.5 ml BD
Follow up plan: Review after 1 month
General recommendation-
1. Zero Screen Time
2. Physical interactive play
3. No Junk food

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