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Patient Details


OPD : 22-Jul-2026 01:27PM Demographic Details Child's Name: Manav Mishra Age: 3 Year 8 Month 21 Days Gender: Male DOB: 2022-11-01 Mother’s age (years): 34 years Mother’s occupation: Homemaker Father’s age (years): 38 years Father’s occupation: Business Type of family: Joint Number of family members: 9 Number of siblings: 1 Details of siblings (Age and sex): 7 year male Address: Pinto Park Contact: 7247283180 Referred By: Doctor Informant: Parents Interaction history: Eye contact: Suboptimal Quality of Interaction: avoids Behavioral history: Repetitive behaviors (RRBs): Handflapping, toe walking Patterned behavior or activities: Hyperactivity Inattention Impulsivity Insisting on sameness Object obsession Temper tantrums Stubbornness Mouthing of objects Others Emotional History Details: Irrelevant laughing Sensory Concerns: Tactile: Hypersensitive Auditory: Hyposensitive Visual: Seeks visuals Proprioception: Seeks pressure Birth & Perinatal History: Antenatal History Consanguinity: No Type of conception: Natural Natal and Postnatal History: Place of Birth: Institutional Mode of Delivery: LSCS Indication for LSCS (if applicable): Prev LSCS Gestational Age: Late PT Birth Weight: 2.7 Kg Cry at birth: Cried immediately after birth Resuscitation required: No NICU stay: Yes If yes- Duration & Indication: Admitted for 2 days for NNHB Past history: Hospitalization: Yes Others: 5 months back- admitted for jaundice 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: 7 months Sitting without support: Achieved Age of attainment: 9 months Standing without support: Achieved Age of attainment: 13 months Walking without support: Achieved Age of attainment: 18 months 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 Drinking from cup: Achieved Age of attainment: Language Receptive:- Joint attention: Achieved Age of attainment: 3 yrs.Inconsistent Pointing: Achieved Age of attainment: 3 yrs. Inconsistent. Following commands: 1-step Expressive:- Cooing: Achieved Age of attainment: 5 months Babbling: Achieved Age of attainment: 8 months Meaningful words: Achieved Age of attainment: 18 months Expressive:- Cooing: Achieved Age of attainment: 5 months Babbling: Achieved Age of attainment: 8 months Meaningful words: Achieved Age of attainment: 18 months Communication & Language Assessment Non-Verbal Communication Grading:- Need-based communication: Emerging Drag for needs: Emerging Joint attention: Emerging Pointing: Attempts Understanding gestures: Emerging Following commands (gesture + verbal): 1-step Answering Questions:- Echolalia: Present Patterned speech: Present Social Social smile: Achieved Age of attainment: 6 months Stranger anxiety: Not achieved Response to Name Call Details: 4/10 Sitting tolerance- (in minutes) For interaction: Doesnt sit For tasks: 1-2 minutes ADL Skills (Age-appropriate)- Eating: 1. Dependent Bathing: 1. Dependent Toilet training: 1. Dependent Dressing: 1. Dependent Undressing: 1. Dependent Type of Play : 2. Isolated Academic History: Is child enrolled in school: No Diet History: Food preferences: Picky eater Food allergies: No Junk food intake: Infrequent Sleep History Total sleep duration (night): 10-11 hours Afternoon nap: Yes Duration of Afternoon nap: 3 hours Daily Screen Time Duration: < 1 hour Examination a. Vitals: b. Anthropometry: Weight: 17.5 Kg Height: 109 cm Head circumference: 49.5 cm c. General Examination d. CNS: Higher Mental Functions Sensory Examination Cranial Nerves (1–12) Neuromuscular Concerns Oromotor Examination CVS examination: NAD Respiratory System examination: NAD Per abdomen examination: NAD Impression: ? ASD Advice Intervention plan: IDP 2/week + PMT 1/week Follow up plan: Next month General recommendation- Zero Screen Time Physical interactive play No Junk food

OPD : 22-Jul-2026 01:27PM Demographic Details

Child's Name: Manav Mishra
Age: 3 Year 8 Month 21 Days
Gender: Male
DOB: 2022-11-01
Mother’s age (years): 34 years
Mother’s occupation: Homemaker
Father’s age (years): 38 years
Father’s occupation: Business
Type of family: Joint
Number of family members: 9
Number of siblings: 1
Details of siblings (Age and sex): 7 year male
Address: Pinto Park
Contact: 7247283180
Referred By: Doctor
Informant: Parents

Interaction history:

Eye contact: Suboptimal
Quality of Interaction: avoids

Behavioral history:

Repetitive behaviors (RRBs): Handflapping, toe walking Patterned behavior or activities: Hyperactivity Inattention Impulsivity Insisting on sameness Object obsession Temper tantrums Stubbornness Mouthing of objects Others Emotional History Details: Irrelevant laughing
Sensory Concerns:

Tactile: Hypersensitive
Auditory: Hyposensitive
Visual: Seeks visuals
Proprioception: Seeks pressure

Birth & Perinatal History: Antenatal History

Consanguinity: No
Type of conception: Natural

Natal and Postnatal History:

Place of Birth: Institutional
Mode of Delivery: LSCS
Indication for LSCS (if applicable): Prev LSCS
Gestational Age: Late PT
Birth Weight: 2.7 Kg
Cry at birth: Cried immediately after birth
Resuscitation required: No
NICU stay: Yes
If yes- Duration & Indication: Admitted for 2 days for NNHB

Past history:

Hospitalization: Yes Others: 5 months back- admitted for jaundice

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: 7 months
Sitting without support: Achieved

Age of attainment: 9 months
Standing without support: Achieved

Age of attainment: 13 months
Walking without support: Achieved

Age of attainment: 18 months
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

Drinking from cup: Achieved

Age of attainment:

Language

Receptive:-

Joint attention: Achieved

Age of attainment: 3 yrs.Inconsistent
Pointing: Achieved

Age of attainment: 3 yrs. Inconsistent.
Following commands: 1-step

Expressive:-

Cooing: Achieved

Age of attainment: 5 months

Babbling: Achieved

Age of attainment: 8 months

Meaningful words: Achieved

Age of attainment: 18 months

Expressive:-

Cooing: Achieved

Age of attainment: 5 months

Babbling: Achieved

Age of attainment: 8 months

Meaningful words: Achieved

Age of attainment: 18 months

Communication & Language Assessment

Non-Verbal Communication Grading:-

Need-based communication: Emerging
Drag for needs: Emerging
Joint attention: Emerging
Pointing: Attempts
Understanding gestures: Emerging
Following commands (gesture + verbal): 1-step

Answering Questions:-

Echolalia: Present Patterned speech: Present

Social

Social smile: Achieved

Age of attainment: 6 months
Stranger anxiety: Not achieved

Response to Name Call

Details: 4/10

Sitting tolerance- (in minutes)

For interaction: Doesnt sit
For tasks: 1-2 minutes

ADL Skills (Age-appropriate)-

Eating: 1. Dependent
Bathing: 1. Dependent
Toilet training: 1. Dependent
Dressing: 1. Dependent
Undressing: 1. Dependent

Type of Play : 2. Isolated Academic History:

Is child enrolled in school: No

Diet History:

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

Sleep History

Total sleep duration (night): 10-11 hours
Afternoon nap: Yes
Duration of Afternoon nap: 3 hours

Daily Screen Time

Duration: < 1 hour

Examination

a. Vitals:

b. Anthropometry:

Weight: 17.5 Kg Height: 109 cm Head circumference: 49.5 cm

c. General Examination

d. CNS: Higher Mental Functions

Sensory Examination

Cranial Nerves (1–12)

Neuromuscular Concerns

Oromotor Examination

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

Impression: ? ASD

Advice

Intervention plan: IDP 2/week + PMT 1/week
Follow up plan: Next month
General recommendation-
1. Zero Screen Time
2. Physical interactive play
3. No Junk food

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