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OPD : 15-Jun-2026 09:41AM Demographic Details Child's Name: Divyangi baghel Age: 3 Year 3 Month 25 Days Gender: Female DOB: 2023-02-21 Contact: 9516687340 Interaction history: Eye contact: Suboptimal Interaction: Interaction with family members Quality of Interaction: limited Behavioral history: Repetitive behaviors (RRBs): Toe walking- reduced Patterned behavior or activities: Sensory Concerns: Auditory: Hypersensitive Vestibular: Seeks movement Details:: Hypersensitivity to sounds has reduced 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: Inconsistent Pointing: Inconsistent meaningful pointing Understanding gestures: Emerging Following commands (gesture + verbal): 1-step Answering Questions:- Echolalia: Present Social Response to Name Call Sitting tolerance- (in minutes) For interaction: 5 minutes For tasks: 5-7 minutes ADL Skills (Age-appropriate)- Eating: 3. Needs significant assistance Bathing: 3. Needs significant assistance Toilet training: 2. Started attempting Dressing: 2. Started attempting Undressing: 3. Needs significant assistance Type of Play : 3. Onlooker Details:: Parallel play- inconsistent Academic History: Is child enrolled in school: No Diet History: Food preferences: Mixed Food allergies: No Junk food intake: Nil Sleep History Total sleep duration (night): 10 hours Afternoon nap: Yes Duration of Afternoon nap: 30 minutes Daily Screen Time Duration: Zero Examination a. Vitals: b. Anthropometry: c. General Examination d. CNS: Higher Mental Functions Sensory Examination Cranial Nerves (1–12) Neuromuscular Concerns Oromotor Examination Advice Intervention plan: IDP 2/week + PMT 1/month Evaluation: DQ (VSMS, DST), ISAA, DSM5 ASD Medications: Syp sizodon (1mg/ml) 0.2 ml at evening 8 PM. Syp Autinorm 5 ml OD Follow up plan: Every month General recommendation- Zero Screen Time Physical interactive play No Junk food No focus on academics at present

OPD : 15-Jun-2026 09:41AM Demographic Details

Child's Name: Divyangi baghel
Age: 3 Year 3 Month 25 Days
Gender: Female
DOB: 2023-02-21
Contact: 9516687340

Interaction history:

Eye contact: Suboptimal
Interaction: Interaction with family members
Quality of Interaction: limited

Behavioral history:

Repetitive behaviors (RRBs): Toe walking- reduced Patterned behavior or activities:
Sensory Concerns:

Auditory: Hypersensitive
Vestibular: Seeks movement

Details:: Hypersensitivity to sounds has reduced

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: Inconsistent
Pointing: Inconsistent meaningful pointing
Understanding gestures: Emerging
Following commands (gesture + verbal): 1-step

Answering Questions:-

Echolalia: Present

Social

Response to Name Call

Sitting tolerance- (in minutes)

For interaction: 5 minutes
For tasks: 5-7 minutes

ADL Skills (Age-appropriate)-

Eating: 3. Needs significant assistance
Bathing: 3. Needs significant assistance
Toilet training: 2. Started attempting
Dressing: 2. Started attempting
Undressing: 3. Needs significant assistance

Type of Play : 3. Onlooker Details:: Parallel play- inconsistent Academic History:

Is child enrolled in school: No

Diet History:

Food preferences: Mixed
Food allergies: No
Junk food intake: Nil

Sleep History

Total sleep duration (night): 10 hours
Afternoon nap: Yes
Duration of Afternoon nap: 30 minutes

Daily Screen Time

Duration: Zero

Examination

a. Vitals:

b. Anthropometry:

c. General Examination

d. CNS: Higher Mental Functions

Sensory Examination

Cranial Nerves (1–12)

Neuromuscular Concerns

Oromotor Examination

Advice

Intervention plan: IDP 2/week + PMT 1/month
Evaluation: DQ (VSMS, DST), ISAA, DSM5 ASD
Medications: Syp sizodon (1mg/ml) 0.2 ml at evening 8 PM. Syp Autinorm 5 ml OD
Follow up plan: Every 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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