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OPD : 12-May-2026 01:59PM Demographic Details Child's Name: Samarth Shrivastava Age: 8 Year 7 Month 9 Days Gender: Male DOB: 2017-10-03 Mother’s age (years): 36 years Mother’s occupation: Homemaker Father’s age (years): 43 years Father’s occupation: Business Type of family: Joint Number of family members: 4 Number of siblings: 1 Details of siblings (Age and sex): 12 years female Address: Lahar Contact: 7987839162 Referred By: Doctor Informant: Mother, Paternal aunt Presenting Concerns Chief concerns: Poor understanding, social behavior not age appropriate Duration of symptoms: From early infancy Interaction history: Eye contact: Suboptimal Behavioral history: Repetitive behaviors (RRBs): Toe walking Patterned behavior or activities: Plays with rope and twigs Inattention Impulsivity Object obsession Temper tantrums Stubbornness Mouthing of objects Academic Concerns: Poor scholastic performance Details:: Sits in school. follows commands. Plays with kids but doesnt undestand rules of play Sensory Concerns: Tactile: Hyposensitive Proprioception: Seeks pressure Birth & Perinatal History: Antenatal History Consanguinity: No Type of conception: Natural High-risk factors in pregnancy: Hypothyroidism Others:: Thyroid profile of child- one report abnormal Natal and Postnatal History: Place of Birth: Institutional Mode of Delivery: NVD Gestational Age: FT Birth Weight: around 2 Kg Cry at birth: Cried immediately after birth Resuscitation required: No NICU stay: No Past history: Hospitalization: No Seizures: No Others: Frequent episodes of pneumonia Past/Current therapies: Nil Past/Current medications: Nil Investigations done- Hearing assessment: Not done Vision assessment: Not done Family history: Neuropsychiatric condition: No Developmental History: Gross Motor Neck holding: Achieved Age of attainment: 6 months Roll over: Achieved Age of attainment: 6 months Sitting without support: Achieved Age of attainment: 7 months Standing without support: Achieved Age of attainment: 18 months Walking without support: Achieved Age of attainment: 2 years Running: Achieved Age of attainment: Climbing upstairs: Achieved Age of attainment: Climbing downstairs: Achieved Age of attainment: Fine Motor Bidextrous grasp: Achieved Age of attainment: 4 months Unidextrous grasp: Achieved Age of attainment: 6 months Pincer grasp: Achieved Age of attainment: 12 months Scribbling: Achieved Age of attainment: 5 years Buttoning / Unbuttoning: Not achieved Language Receptive:- Joint attention: Achieved Age of attainment: 2 years Pointing: Achieved Age of attainment: 2 years Following commands: 1-step Expressive:- Cooing: Achieved Age of attainment: 4 months Babbling: Achieved Age of attainment: 6 months Meaningful words: Achieved Age of attainment: 18 months 2 word Phrases: Achieved Age of attainment: 36 months Complete sentences: Achieved Age of attainment: 4 years Expressive:- Cooing: Achieved Age of attainment: 4 months Babbling: Achieved Age of attainment: 6 months Meaningful words: Achieved Age of attainment: 18 months 2 word Phrases: Achieved Age of attainment: 36 months Complete sentences: Achieved Age of attainment: 4 years Communication & Language Assessment Non-Verbal Communication Grading:- Need-based communication: Consistent Drag for needs: Consistent Joint attention: Inconsistent Pointing: Inconsistent meaningful pointing Understanding gestures: Emerging Answering Questions:- What Echolalia: Present Social Social smile: Achieved Age of attainment: 2 months Stranger anxiety: Achieved Age of attainment: 24 months Waving bye bye: Achieved Age of attainment: Comes when called: Achieved Age of attainment: Copying parents in tasks: Not achieved Asking for food and toilet: Achieved Age of attainment: Response to Name Call Details: 7-8/10 Sitting tolerance- (in minutes) For interaction: 2 minutes ADL Skills (Age-appropriate)- Eating: 2. Started attempting Bathing: 4. Needs minimal assistance Toilet training: 4. Needs minimal assistance Details:: Goes to toilet by himself, indicates too. Needs prompts for finishing the steps. Type of Play : 4. Parallel Details:: Destructive play Academic History: Is child enrolled in school: Yes Type of school: Regular Name of School: Maa Mangla devi Vidya Peeth Grade: 1 Hours spent in school: 4 hours Location: Lahar Additional information: Tuitions- 3 hours Diet History: Food preferences: Picky eater Food allergies: No Junk food intake: Daily Sleep History Total sleep duration (night): 9-10 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: 123 cm Head circumference: 48 c. General Examination Dysmorphology: NAD Neurocutaneous markers: NAD d. CNS: Higher Mental Functions Consciousness: Conscious 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: ID Advice Evaluation: IQ (BKT/MISIC), Academic evaluation (NIMHANS/ Pre academic evaluation) Follow up plan: After 1 month General recommendation- Zero Screen Time Physical interactive play No Junk food No focus on academics at present

OPD : 12-May-2026 01:59PM Demographic Details

Child's Name: Samarth Shrivastava
Age: 8 Year 7 Month 9 Days
Gender: Male
DOB: 2017-10-03
Mother’s age (years): 36 years
Mother’s occupation: Homemaker
Father’s age (years): 43 years
Father’s occupation: Business
Type of family: Joint
Number of family members: 4
Number of siblings: 1
Details of siblings (Age and sex): 12 years female
Address: Lahar
Contact: 7987839162
Referred By: Doctor
Informant: Mother, Paternal aunt

Presenting Concerns

Chief concerns: Poor understanding, social behavior not age appropriate
Duration of symptoms: From early infancy

Interaction history:

Eye contact: Suboptimal

Behavioral history:

Repetitive behaviors (RRBs): Toe walking Patterned behavior or activities: Plays with rope and twigs Inattention Impulsivity Object obsession Temper tantrums Stubbornness Mouthing of objects Academic Concerns:
Poor scholastic performance Details:: Sits in school. follows commands. Plays with kids but doesnt undestand rules of play
Sensory Concerns:

Tactile: Hyposensitive
Proprioception: Seeks pressure

Birth & Perinatal History: Antenatal History

Consanguinity: No
Type of conception: Natural
High-risk factors in pregnancy:
1. Hypothyroidism
Others:: Thyroid profile of child- one report abnormal

Natal and Postnatal History:

Place of Birth: Institutional
Mode of Delivery: NVD
Gestational Age: FT
Birth Weight: around 2 Kg
Cry at birth: Cried immediately after birth
Resuscitation required: No
NICU stay: No

Past history:

Hospitalization: No Seizures: No Others: Frequent episodes of pneumonia

Past/Current therapies: Nil Past/Current medications: Nil Investigations done-

Hearing assessment: Not done Vision assessment: Not done

Family history:

Neuropsychiatric condition: No

Developmental History:

Gross Motor

Neck holding: Achieved

Age of attainment: 6 months
Roll over: Achieved

Age of attainment: 6 months
Sitting without support: Achieved

Age of attainment: 7 months
Standing without support: Achieved

Age of attainment: 18 months
Walking without support: Achieved

Age of attainment: 2 years
Running: Achieved

Age of attainment:
Climbing upstairs: Achieved

Age of attainment:
Climbing downstairs: Achieved

Age of attainment:

Fine Motor

Bidextrous grasp: Achieved

Age of attainment: 4 months

Unidextrous grasp: Achieved

Age of attainment: 6 months

Pincer grasp: Achieved

Age of attainment: 12 months

Scribbling: Achieved

Age of attainment: 5 years

Buttoning / Unbuttoning: Not achieved

Language

Receptive:-

Joint attention: Achieved

Age of attainment: 2 years
Pointing: Achieved

Age of attainment: 2 years
Following commands: 1-step

Expressive:-

Cooing: Achieved

Age of attainment: 4 months

Babbling: Achieved

Age of attainment: 6 months

Meaningful words: Achieved

Age of attainment: 18 months

2 word Phrases: Achieved

Age of attainment: 36 months

Complete sentences: Achieved

Age of attainment: 4 years

Expressive:-

Cooing: Achieved

Age of attainment: 4 months

Babbling: Achieved

Age of attainment: 6 months

Meaningful words: Achieved

Age of attainment: 18 months

2 word Phrases: Achieved

Age of attainment: 36 months

Complete sentences: Achieved

Age of attainment: 4 years

Communication & Language Assessment

Non-Verbal Communication Grading:-

Need-based communication: Consistent
Drag for needs: Consistent
Joint attention: Inconsistent
Pointing: Inconsistent meaningful pointing
Understanding gestures: Emerging

Answering Questions:-

What Echolalia: Present

Social

Social smile: Achieved

Age of attainment: 2 months
Stranger anxiety: Achieved

Age of attainment: 24 months
Waving bye bye: Achieved

Age of attainment:
Comes when called: Achieved

Age of attainment:
Copying parents in tasks: Not achieved
Asking for food and toilet: Achieved

Age of attainment:

Response to Name Call

Details: 7-8/10

Sitting tolerance- (in minutes)

For interaction: 2 minutes

ADL Skills (Age-appropriate)-

Eating: 2. Started attempting
Bathing: 4. Needs minimal assistance
Toilet training: 4. Needs minimal assistance

Details:: Goes to toilet by himself, indicates too. Needs prompts for finishing the steps.

Type of Play : 4. Parallel Details:: Destructive play Academic History:

Is child enrolled in school: Yes
Type of school: Regular
Name of School: Maa Mangla devi Vidya Peeth
Grade: 1
Hours spent in school: 4 hours
Location: Lahar
Additional information: Tuitions- 3 hours

Diet History:

Food preferences: Picky eater
Food allergies: No
Junk food intake: Daily

Sleep History

Total sleep duration (night): 9-10 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: 123 cm Head circumference: 48

c. General Examination

Dysmorphology: NAD Neurocutaneous markers: NAD

d. CNS: Higher Mental Functions

Consciousness: Conscious

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: ID

Advice

Evaluation: IQ (BKT/MISIC), Academic evaluation (NIMHANS/ Pre academic evaluation)
Follow up plan: After 1 month
General recommendation-
1. Zero Screen Time
2. Physical interactive play
3. No Junk food
4. No focus on academics at present

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