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Welcome to Otika template!
Yesterday
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Patient Details
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OPD :
03-Jul-2026 04:06PM
Demographic Details
Child's Name
:
Swastik Sharma
Age
:
5 Year 8 Month 15 Days
Gender
:
Male
DOB
:
2020-06-12
Contact
:
9575111122
Interaction history:
Eye contact
:
Suboptimal
Quality of Interaction
:
limited
Behavioral history:
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:-
Echolalia
:
Present
Patterned speech
:
Present
Social
Response to Name Call
Details
:
10/10
Sitting tolerance- (in minutes)
For tasks
:
sitting in school
ADL Skills (Age-appropriate)-
Eating
:
3. Needs significant assistance
Bathing
:
3. Needs significant assistance
Toilet training
:
2. Started attempting
Dressing
:
3. Needs significant assistance
Undressing
:
3. Needs significant assistance
Details:
:
Doesnt prefer to eat on his own
Type of Play : 3. Onlooker
Academic History:
Is child enrolled in school
:
Yes
Type of school
:
Regular
Name of School
:
Little millenium school
Grade
:
LKG
Location
:
DD Nagar
Diet History:
Food preferences
:
Mixed
Food allergies
:
No
Junk food intake
:
Occasional
Sleep History
Total sleep duration (night)
:
10 hours
Afternoon nap
:
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
:
IDP 2/week + PMT 1/15 days
Medications
:
syp autinorm 5ml BD
Follow up plan
:
after 1 month
General recommendation-
Zero Screen Time
Physical interactive play
No Junk food
No focus on academics at present
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