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OPD : 01-Jun-2026 11:55AM Demographic Details Child's Name: Swastik Sharma Age: 5 Year 8 Month 15 Days Gender: Male DOB: 2020-06-12 Contact: 9575111122 Interaction history: Eye contact: Suboptimal Interaction: Deliberately ignores Behavioral history: Repetitive behaviors (RRBs): Patterned behavior or activities: 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:- 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:- Social Response to Name Call Sitting tolerance- (in minutes) For interaction: Improved For tasks: Improved ADL Skills (Age-appropriate)- Eating: 4. Needs minimal assistance Bathing: 4. Needs minimal assistance Toilet training: 4. Needs minimal assistance Dressing: 3. Needs significant assistance Undressing: 4. Needs minimal assistance Type of Play : 4. Parallel Academic History: Is child enrolled in school: No Diet History: Food preferences: Mixed Food allergies: No Junk food intake: Occasional Sleep History Total sleep duration (night): 10-11 hours Afternoon nap: No Sleep disturbances: No Daily Screen Time Duration: Zero Examination a. Vitals: b. Anthropometry: c. General Examination Dysmorphology: NAD Neurocutaneous markers: NAD 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 Advice Intervention plan: IDP 2/week + PMT 15/days Follow up plan: After 1 month General recommendation- Zero Screen Time Physical interactive play No Junk food

OPD : 01-Jun-2026 11:55AM Demographic Details

Child's Name: Swastik Sharma
Age: 5 Year 8 Month 15 Days
Gender: Male
DOB: 2020-06-12
Contact: 9575111122

Interaction history:

Eye contact: Suboptimal
Interaction: Deliberately ignores

Behavioral history:

Repetitive behaviors (RRBs): Patterned behavior or activities:

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:-

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:-

Social

Response to Name Call

Sitting tolerance- (in minutes)

For interaction: Improved
For tasks: Improved

ADL Skills (Age-appropriate)-

Eating: 4. Needs minimal assistance
Bathing: 4. Needs minimal assistance
Toilet training: 4. Needs minimal assistance
Dressing: 3. Needs significant assistance
Undressing: 4. Needs minimal assistance

Type of Play : 4. Parallel Academic History:

Is child enrolled in school: No

Diet History:

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

Sleep History

Total sleep duration (night): 10-11 hours
Afternoon nap: No
Sleep disturbances: No

Daily Screen Time

Duration: Zero

Examination

a. Vitals:

b. Anthropometry:

c. General Examination

Dysmorphology: NAD Neurocutaneous markers: NAD

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

Advice

Intervention plan: IDP 2/week + PMT 15/days
Follow up plan: After 1 month
General recommendation-
1. Zero Screen Time
2. Physical interactive play
3. No Junk food

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