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Welcome to Otika template!
Yesterday
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Patient Details
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OPD :
10-Apr-2026 02:52PM
Demographic Details
Child's Name
:
Krishna Shakya
Age
:
1 Year 2 Month 29 Days
Gender
:
Male
DOB
:
2025-01-12
Contact
:
7898803311
Interaction history:
Eye contact
:
Sustained
Behavioral history:
Birth & Perinatal History:
Antenatal History
Natal and Postnatal History:
Past history:
Investigations done-
Family history:
Developmental History:
Gross Motor
Neck holding
:
Achieved
Age of attainment
:
Roll over
:
Achieved
Age of attainment
:
Fine Motor
Bidextrous grasp
:
Achieved
Age of attainment
:
Unidextrous grasp
:
Achieved
Age of attainment
:
Language
Expressive:-
Cooing
:
Achieved
Age of attainment
:
Expressive:-
Cooing
:
Achieved
Age of attainment
:
Communication & Language Assessment
Non-Verbal Communication Grading:-
Answering Questions:-
Social
Social smile
:
Achieved
Age of attainment
:
Stranger anxiety
:
Achieved
Age of attainment
:
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
Academic History:
Diet History:
Food preferences
:
Complimentary food
Sleep History
Total sleep duration (night)
:
13 hours
Daily Screen Time
Duration
:
<30 minutes
Examination
a. Vitals:
b. Anthropometry:
c. General Examination
Dysmorphology
:
Downs facies
Neurocutaneous markers
:
Ab
d. CNS:
Higher Mental Functions
Sensory Examination
Cranial Nerves (1–12)
Neuromuscular Concerns
Oromotor Examination
CVS examination
:
NAD
Respiratory System examination
:
B/l conducted sounds
Per abdomen examination
:
Nad
Advice
Intervention plan
:
IDP (+PT) 2/week
Investigations
:
X ray neck lat view (for adenoids)
Follow up plan
:
After 1 month
General recommendation-
Zero Screen Time
Physical interactive play
No Junk food
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