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Patient Details


OPD : 15-May-2026 05:02PM Demographic Details Child's Name: test Age: 0 Days Gender: Male DOB: 2026-05-15 Mother’s age (years): yus Mother’s occupation: ghik Father’s age (years): hhh Type of family: Joint Number of family members: 2 Number of siblings: 4 Address: nnnn Contact: 2535698562 Interaction history: Eye contact: Sustained Behavioral history: Repetitive behaviors (RRBs): Academic Concerns: Poor recall of learnt material Sensory Concerns: 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) ADL Skills (Age-appropriate)- Academic History: Diet History: Examination a. Vitals: b. Anthropometry: c. General Examination d. CNS: Higher Mental Functions Sensory Examination Cranial Nerves (1–12) Neuromuscular Concerns Oromotor Examination Advice

OPD : 15-May-2026 05:02PM Demographic Details

Child's Name: test
Age: 0 Days
Gender: Male
DOB: 2026-05-15
Mother’s age (years): yus
Mother’s occupation: ghik
Father’s age (years): hhh
Type of family: Joint
Number of family members: 2
Number of siblings: 4
Address: nnnn
Contact: 2535698562

Interaction history:

Eye contact: Sustained

Behavioral history:

Repetitive behaviors (RRBs): Academic Concerns:
Poor recall of learnt material
Sensory Concerns:

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)

ADL Skills (Age-appropriate)-

Academic History:

Diet History:

Examination

a. Vitals:

b. Anthropometry:

c. General Examination

d. CNS: Higher Mental Functions

Sensory Examination

Cranial Nerves (1–12)

Neuromuscular Concerns

Oromotor Examination

Advice

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Patient Details