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OPD : 30-Jun-2026 02:53PM Demographic Details Child's Name: Manav Agrawal Age: 17 Year 10 Month 20 Days Gender: Male DOB: 2008-08-10 Mother’s age (years): 42 years Mother’s occupation: Govt school teacher Father’s age (years): 46 years Father’s occupation: Private school teacher Type of family: Nuclear Number of family members: 4 Number of siblings: 1 Details of siblings (Age and sex): 8 year old female Address: Morena Contact: 9907824540 Referred By: Doctor Informant: Mother, nani Presenting Concerns Chief concerns: Low confidence Duration of symptoms: Since 1 year Interaction history: Eye contact: Sustained Interaction: Prefers to stay alone Quality of Interaction: age-appropriate Behavioral history: Emotional history: Lack of interest Birth & Perinatal History: Antenatal History Consanguinity: No Type of conception: Natural Others:: 2 spontaneous abortions. Mother was TORCH positive Natal and Postnatal History: Place of Birth: Institutional Mode of Delivery: LSCS Gestational Age: FT Birth Weight: 4.2 Kg Cry at birth: Cried immediately after birth Resuscitation required: No NICU stay: No Past history: Hospitalization: Yes Seizures: No Others: At age 12 years- Koch's abdomen Investigations done- Hearing assessment: Not done Vision assessment: Not done Family history: Neuropsychiatric condition: No Developmental History: Gross Motor Walking without support: Achieved Age of attainment: 11 months Fine Motor Pincer grasp: Achieved Age of attainment: 12 months Language Expressive:- Meaningful words: Achieved Age of attainment: 12 months 2 word Phrases: Achieved Age of attainment: 18 mponths Expressive:- Meaningful words: Achieved Age of attainment: 12 months 2 word Phrases: Achieved Age of attainment: 18 mponths Communication & Language Assessment Non-Verbal Communication Grading:- Answering Questions:- Social Response to Name Call Sitting tolerance- (in minutes) ADL Skills (Age-appropriate)- Eating: 5. Independent Bathing: 5. Independent Toilet training: 5. Independent Dressing: 5. Independent Undressing: 5. Independent Type of Play : 2. Isolated Details:: Plays mobile games Academic History: Additional information: Passed 12 th standard 1 year back with 85%. Diet History: Food preferences: Mixed Food allergies: No Junk food intake: Frequent Sleep History Total sleep duration (night): 10 hours Afternoon nap: Yes Sleep disturbances: Daily Screen Time Duration: > 5 hours Type of screen: Mobile and TV Examination a. Vitals: b. Anthropometry: c. General Examination d. CNS: Higher Mental Functions Sensory Examination Cranial Nerves (1–12) Neuromuscular Concerns Oromotor Examination Advice Intervention plan: Adolescent counselling 1/week + PMT 1/week General recommendation- Zero Screen Time Physical interactive play No Junk food

OPD : 30-Jun-2026 02:53PM Demographic Details

Child's Name: Manav Agrawal
Age: 17 Year 10 Month 20 Days
Gender: Male
DOB: 2008-08-10
Mother’s age (years): 42 years
Mother’s occupation: Govt school teacher
Father’s age (years): 46 years
Father’s occupation: Private school teacher
Type of family: Nuclear
Number of family members: 4
Number of siblings: 1
Details of siblings (Age and sex): 8 year old female
Address: Morena
Contact: 9907824540
Referred By: Doctor
Informant: Mother, nani

Presenting Concerns

Chief concerns: Low confidence
Duration of symptoms: Since 1 year

Interaction history:

Eye contact: Sustained
Interaction: Prefers to stay alone
Quality of Interaction: age-appropriate

Behavioral history:

Emotional history:
Lack of interest

Birth & Perinatal History: Antenatal History

Consanguinity: No
Type of conception: Natural
Others:: 2 spontaneous abortions. Mother was TORCH positive

Natal and Postnatal History:

Place of Birth: Institutional
Mode of Delivery: LSCS
Gestational Age: FT
Birth Weight: 4.2 Kg
Cry at birth: Cried immediately after birth
Resuscitation required: No
NICU stay: No

Past history:

Hospitalization: Yes Seizures: No Others: At age 12 years- Koch's abdomen

Investigations done-

Hearing assessment: Not done Vision assessment: Not done

Family history:

Neuropsychiatric condition: No

Developmental History:

Gross Motor

Walking without support: Achieved

Age of attainment: 11 months

Fine Motor

Pincer grasp: Achieved

Age of attainment: 12 months

Language

Expressive:-

Meaningful words: Achieved

Age of attainment: 12 months

2 word Phrases: Achieved

Age of attainment: 18 mponths

Expressive:-

Meaningful words: Achieved

Age of attainment: 12 months

2 word Phrases: Achieved

Age of attainment: 18 mponths

Communication & Language Assessment

Non-Verbal Communication Grading:-

Answering Questions:-

Social

Response to Name Call

Sitting tolerance- (in minutes)

ADL Skills (Age-appropriate)-

Eating: 5. Independent
Bathing: 5. Independent
Toilet training: 5. Independent
Dressing: 5. Independent
Undressing: 5. Independent

Type of Play : 2. Isolated Details:: Plays mobile games Academic History:

Additional information: Passed 12 th standard 1 year back with 85%.

Diet History:

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

Sleep History

Total sleep duration (night): 10 hours
Afternoon nap: Yes
Sleep disturbances:

Daily Screen Time

Duration: > 5 hours
Type of screen: Mobile and TV

Examination

a. Vitals:

b. Anthropometry:

c. General Examination

d. CNS: Higher Mental Functions

Sensory Examination

Cranial Nerves (1–12)

Neuromuscular Concerns

Oromotor Examination

Advice

Intervention plan: Adolescent counselling 1/week + PMT 1/week
General recommendation-
1. Zero Screen Time
2. Physical interactive play
3. No Junk food

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