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OPD : 14-Jul-2026 12:53PM Demographic Details Child's Name: Aditya Prakash Age: 7 Year 8 Month 0 Days Gender: Male DOB: 2018-11-14 Mother’s age (years): 34 years Mother’s occupation: Homemaker Father’s age (years): 36 years Father’s occupation: SBI Type of family: Nuclear Number of family members: 3 Number of siblings: 0 Contact: 7903091295 Informant: Parents Presenting Concerns Chief concerns: Poor attention, expressive language Duration of symptoms: Noticed at 2 years age Interaction history: Eye contact: Fleeting Interaction: Interaction better with known people Quality of Interaction: limited Behavioral history: Repetitive behaviors (RRBs): jumping, toe walking Patterned behavior or activities: Inattention Impulsivity Stubbornness Aggression Mouthing of objects Others Emotional History Details: Irrelevant laughing Sensory Concerns: Auditory: Fear of loud sounds 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): Cord around neck Gestational Age: FT Birth Weight: 3 Kg Cry at birth: Cried immediately after birth Resuscitation required: No NICU stay: No Past history: Hospitalization: No Seizures: No Past/Current therapies: took therapies for 1.5 years 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: 4 months Roll over: Achieved Age of attainment: 5 months Sitting without support: Achieved Age of attainment: 6 months Standing without support: Achieved Age of attainment: 9 months Walking without support: Achieved Age of attainment: 12 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 Scribbling: Achieved Age of attainment: Drinking from cup: Achieved Age of attainment: Buttoning / Unbuttoning: Not achieved Language Receptive:- Joint attention: Achieved Age of attainment: 4 years Pointing: Achieved Age of attainment: 4.5 years Understanding gestures: Achieved Age of attainment: Following commands: 1-step Expressive:- Cooing: Achieved Age of attainment: 4 months Babbling: Achieved Age of attainment: 6 months Meaningful words: Achieved Age of attainment: 4 years Expressive:- Cooing: Achieved Age of attainment: 4 months Babbling: Achieved Age of attainment: 6 months Meaningful words: Achieved Age of attainment: 4 years Details:: Patterned speech Communication & Language Assessment Non-Verbal Communication Grading:- Need-based communication: Consistent Drag for needs: Consistent Joint attention: Consistent Pointing: Consistent meaningful pointing Understanding gestures: Consistent Following commands (gesture + verbal): 1-step Answering Questions:- Echolalia: Present Patterned speech: Present Social Social smile: Achieved Age of attainment: 2 months Stranger anxiety: Not achieved Waving bye bye: Achieved Age of attainment: Delayed Comes when called: Achieved Age of attainment: Delayed Response to Name Call Sitting tolerance- (in minutes) For interaction: Doesnt want to sit For tasks: can sit longer for tasks ADL Skills (Age-appropriate)- Eating: 4. Needs minimal assistance Bathing: 5. Independent Toilet training: 4. Needs minimal assistance Dressing: 4. Needs minimal assistance Undressing: 4. Needs minimal assistance Details:: Doesnt want to clean stools Type of Play : 2. Isolated Academic History: Is child enrolled in school: Yes Type of school: Regular Name of School: Little millenium preschool Grade: 1 Hours spent in school: 3 hours Diet History: Food preferences: Mixed Food allergies: No Junk food intake: Occasional Sleep History Total sleep duration (night): 8-9 hours Afternoon nap: No Duration of Afternoon nap: Occcasional Daily Screen Time Duration: < 1 hour Examination a. Vitals: b. Anthropometry: Weight: 28 Kg Height: 140 cm Head circumference: 50 cm 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 Impression: ? ASD Advice Intervention plan: IDP 2/week + PMT 1/week Follow up plan: Every month General recommendation- Zero Screen Time Physical interactive play No Junk food

OPD : 14-Jul-2026 12:53PM Demographic Details

Child's Name: Aditya Prakash
Age: 7 Year 8 Month 0 Days
Gender: Male
DOB: 2018-11-14
Mother’s age (years): 34 years
Mother’s occupation: Homemaker
Father’s age (years): 36 years
Father’s occupation: SBI
Type of family: Nuclear
Number of family members: 3
Number of siblings: 0
Contact: 7903091295
Informant: Parents

Presenting Concerns

Chief concerns: Poor attention, expressive language
Duration of symptoms: Noticed at 2 years age

Interaction history:

Eye contact: Fleeting
Interaction: Interaction better with known people
Quality of Interaction: limited

Behavioral history:

Repetitive behaviors (RRBs): jumping, toe walking Patterned behavior or activities: Inattention Impulsivity Stubbornness Aggression Mouthing of objects Others Emotional History Details: Irrelevant laughing
Sensory Concerns:

Auditory: Fear of loud sounds
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): Cord around neck
Gestational Age: FT
Birth Weight: 3 Kg
Cry at birth: Cried immediately after birth
Resuscitation required: No
NICU stay: No

Past history:

Hospitalization: No Seizures: No

Past/Current therapies: took therapies for 1.5 years 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: 4 months
Roll over: Achieved

Age of attainment: 5 months
Sitting without support: Achieved

Age of attainment: 6 months
Standing without support: Achieved

Age of attainment: 9 months
Walking without support: Achieved

Age of attainment: 12 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

Scribbling: Achieved

Age of attainment:

Drinking from cup: Achieved

Age of attainment:

Buttoning / Unbuttoning: Not achieved

Language

Receptive:-

Joint attention: Achieved

Age of attainment: 4 years
Pointing: Achieved

Age of attainment: 4.5 years
Understanding gestures: Achieved

Age of attainment:
Following commands: 1-step

Expressive:-

Cooing: Achieved

Age of attainment: 4 months

Babbling: Achieved

Age of attainment: 6 months

Meaningful words: Achieved

Age of attainment: 4 years

Expressive:-

Cooing: Achieved

Age of attainment: 4 months

Babbling: Achieved

Age of attainment: 6 months

Meaningful words: Achieved

Age of attainment: 4 years

Details:: Patterned speech

Communication & Language Assessment

Non-Verbal Communication Grading:-

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

Answering Questions:-

Echolalia: Present Patterned speech: Present

Social

Social smile: Achieved

Age of attainment: 2 months
Stranger anxiety: Not achieved
Waving bye bye: Achieved

Age of attainment: Delayed
Comes when called: Achieved

Age of attainment: Delayed

Response to Name Call

Sitting tolerance- (in minutes)

For interaction: Doesnt want to sit
For tasks: can sit longer for tasks

ADL Skills (Age-appropriate)-

Eating: 4. Needs minimal assistance
Bathing: 5. Independent
Toilet training: 4. Needs minimal assistance
Dressing: 4. Needs minimal assistance
Undressing: 4. Needs minimal assistance

Details:: Doesnt want to clean stools

Type of Play : 2. Isolated Academic History:

Is child enrolled in school: Yes
Type of school: Regular
Name of School: Little millenium preschool
Grade: 1
Hours spent in school: 3 hours

Diet History:

Food preferences: Mixed
Food allergies: No
Junk food intake: Occasional

Sleep History

Total sleep duration (night): 8-9 hours
Afternoon nap: No
Duration of Afternoon nap: Occcasional

Daily Screen Time

Duration: < 1 hour

Examination

a. Vitals:

b. Anthropometry:

Weight: 28 Kg Height: 140 cm Head circumference: 50 cm

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

Impression: ? ASD

Advice

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

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