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Patient Details


OPD : 09-Jun-2026 05:02PM Demographic Details Child's Name: Deepansh Kushwah Age: 1 Year 9 Month 18 Days Gender: Male DOB: 2024-08-22 Mother’s age (years): 26 years Mother’s occupation: Homemaker Father’s age (years): 30 years Father’s occupation: Govt job Type of family: Joint Number of family members: 5 Number of siblings: 0 Address: Mau, Bhind Contact: 8109779601 Referred By: Doctor Informant: Parents Presenting Concerns Chief concerns: Delayed milestones (unable to walk, speech delay) Interaction history: Eye contact: Sustained Quality of Interaction: age-appropriate Behavioral history: 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): Non progression of labor Gestational Age: FT Birth Weight: 2.1Kg Cry at birth: Delayed cry Resuscitation required: Yes NICU stay: Yes If yes- Duration & Indication: Admitted for 29 days in NICU for HIE. MV- 7 days. Past history: Hospitalization: No Seizures: No Investigations done- Hearing assessment: Done Vision assessment: Not done Family history: Neuropsychiatric condition: No Developmental History: Gross Motor Neck holding: Achieved Age of attainment: 12 months Roll over: Achieved Age of attainment: 14 months Sitting without support: Achieved Age of attainment: Standing without support: Not achieved Fine Motor Bidextrous grasp: Achieved Age of attainment: 12 months Unidextrous grasp: Achieved Age of attainment: 15 months Pincer grasp: Not achieved Language Receptive:- Joint attention: Not achieved Pointing: Not achieved Understanding gestures: Not achieved Following commands: Not following Expressive:- Cooing: Achieved Age of attainment: 6 months Babbling: Achieved Age of attainment: 12 months Meaningful words: Not achieved 2 word Phrases: Not achieved Expressive:- Cooing: Achieved Age of attainment: 6 months Babbling: Achieved Age of attainment: 12 months Meaningful words: Not achieved 2 word Phrases: Not achieved Communication & Language Assessment Non-Verbal Communication Grading:- Need-based communication: Absent Drag for needs: Absent Joint attention: Absent Pointing: Absent Understanding gestures: Absent Following commands (gesture + verbal): Nil Answering Questions:- Echolalia: Present Social Social smile: Achieved Age of attainment: 12 months Stranger anxiety: Achieved Age of attainment: 14 months Waving bye bye: Not achieved Comes when called: Not achieved Copying parents in tasks: Not achieved Asking for food and toilet: Not achieved Response to Name Call Sitting tolerance- (in minutes) ADL Skills (Age-appropriate)- Eating: 1. Dependent Bathing: 1. Dependent Toilet training: 1. Dependent Dressing: 1. Dependent Undressing: 1. Dependent Details:: Doesnt cooperate for haircutting and nailcutting Type of Play : 3. Onlooker Academic History: Is child enrolled in school: No Diet History: Food preferences: Mixed. Bottlefeeding+ Food allergies: No Junk food intake: Occasional Daily Screen Time Duration: <30 minutes 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 : 09-Jun-2026 05:02PM Demographic Details

Child's Name: Deepansh Kushwah
Age: 1 Year 9 Month 18 Days
Gender: Male
DOB: 2024-08-22
Mother’s age (years): 26 years
Mother’s occupation: Homemaker
Father’s age (years): 30 years
Father’s occupation: Govt job
Type of family: Joint
Number of family members: 5
Number of siblings: 0
Address: Mau, Bhind
Contact: 8109779601
Referred By: Doctor
Informant: Parents

Presenting Concerns

Chief concerns: Delayed milestones (unable to walk, speech delay)

Interaction history:

Eye contact: Sustained
Quality of Interaction: age-appropriate

Behavioral history:

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): Non progression of labor
Gestational Age: FT
Birth Weight: 2.1Kg
Cry at birth: Delayed cry
Resuscitation required: Yes
NICU stay: Yes
If yes- Duration & Indication: Admitted for 29 days in NICU for HIE. MV- 7 days.

Past history:

Hospitalization: No Seizures: No

Investigations done-

Hearing assessment: Done Vision assessment: Not done

Family history:

Neuropsychiatric condition: No

Developmental History:

Gross Motor

Neck holding: Achieved

Age of attainment: 12 months
Roll over: Achieved

Age of attainment: 14 months
Sitting without support: Achieved

Age of attainment:
Standing without support: Not achieved

Fine Motor

Bidextrous grasp: Achieved

Age of attainment: 12 months

Unidextrous grasp: Achieved

Age of attainment: 15 months

Pincer grasp: Not achieved

Language

Receptive:-

Joint attention: Not achieved
Pointing: Not achieved
Understanding gestures: Not achieved
Following commands: Not following

Expressive:-

Cooing: Achieved

Age of attainment: 6 months

Babbling: Achieved

Age of attainment: 12 months

Meaningful words: Not achieved

2 word Phrases: Not achieved

Expressive:-

Cooing: Achieved

Age of attainment: 6 months

Babbling: Achieved

Age of attainment: 12 months

Meaningful words: Not achieved

2 word Phrases: Not achieved

Communication & Language Assessment

Non-Verbal Communication Grading:-

Need-based communication: Absent
Drag for needs: Absent
Joint attention: Absent
Pointing: Absent
Understanding gestures: Absent
Following commands (gesture + verbal): Nil

Answering Questions:-

Echolalia: Present

Social

Social smile: Achieved

Age of attainment: 12 months
Stranger anxiety: Achieved

Age of attainment: 14 months
Waving bye bye: Not achieved
Comes when called: Not achieved
Copying parents in tasks: Not achieved
Asking for food and toilet: Not achieved

Response to Name Call

Sitting tolerance- (in minutes)

ADL Skills (Age-appropriate)-

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

Details:: Doesnt cooperate for haircutting and nailcutting

Type of Play : 3. Onlooker Academic History:

Is child enrolled in school: No

Diet History:

Food preferences: Mixed. Bottlefeeding+
Food allergies: No
Junk food intake: Occasional

Daily Screen Time

Duration: <30 minutes

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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