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OPD : 10-Apr-2026 11:55AM Demographic Details Child's Name: Vaishnavi Age: 8 Year 5 Month 21 Days Gender: Female DOB: 2017-10-20 Contact: 9582063905 Referred By: Doctor Informant: Parents Interaction history: Eye contact: Poor Quality of Interaction: limited Behavioral history: Repetitive behaviors (RRBs): Earlier was looking at lateral angle of eyes Patterned behavior or activities: Hyperactivity Inattention Impulsivity Object obsession Temper tantrums Stubbornness Aggression Sensory Concerns: Tactile: Hypersensitive Proprioception: Seeks pressure Details:: Doesnt like messy things 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): MSL Gestational Age: FT Birth Weight: 2.5 kg Cry at birth: Cried immediately after birth Resuscitation required: Yes NICU stay: Yes If yes- Duration & Indication: Admitted for NNHB for 4 days Past history: Hospitalization: Yes Seizures: Yes Others: Around 4.5 years- febrile seizure. EEG- normal Past/Current therapies: OT, ABA since 5 years Investigations done- Hearing assessment: Not done Vision assessment: Not done Family history: Neuropsychiatric condition: Yes Others: Father's paternal aunt (bua) ID Developmental History: Gross Motor Neck holding: Achieved Age of attainment: (completed at 1 year) Roll over: Achieved Age of attainment: 6 months Sitting without support: Achieved Age of attainment: 11 months Standing without support: Achieved Age of attainment: Walking without support: Achieved Age of attainment: 18 months Running: Achieved Age of attainment: Climbing upstairs: Achieved Age of attainment: Climbing downstairs: Achieved Age of attainment: Hopping: Not achieved Fine Motor Bidextrous grasp: Achieved Age of attainment: 6 months Unidextrous grasp: Achieved Age of attainment: 8 months Pincer grasp: Achieved Age of attainment: 4 years Drinking from cup: Achieved Age of attainment: Buttoning / Unbuttoning: Not achieved Language Receptive:- Joint attention: Achieved Age of attainment: 2 years Pointing: Achieved Age of attainment: 12 months Expressive:- Cooing: Achieved Age of attainment: 4 months Babbling: Achieved Age of attainment: 12 months Meaningful words: Achieved Age of attainment: 5 years 2 word Phrases: Achieved Age of attainment: Expressive:- Cooing: Achieved Age of attainment: 4 months Babbling: Achieved Age of attainment: 12 months Meaningful words: Achieved Age of attainment: 5 years 2 word Phrases: Achieved Age of attainment: Communication & Language Assessment Non-Verbal Communication Grading:- Need-based communication: Consistent Drag for needs: Consistent Joint attention: Consistent Pointing: Consistent meaningful pointing Following commands (gesture + verbal): 1-step Answering Questions:- Echolalia: Present Patterned speech: Present Social Social smile: Achieved Age of attainment: Not achieved Stranger anxiety: Achieved Age of attainment: Waving bye bye: Not achieved Asking for food and toilet: Achieved Age of attainment: Response to Name Call Details: 8/10 Sitting tolerance- (in minutes) For interaction: Sits to hear stories For tasks: More for taska ADL Skills (Age-appropriate)- Eating: 5. Independent Bathing: 2. Started attempting Toilet training: 4. Needs minimal assistance Dressing: 3. Needs significant assistance Undressing: 3. Needs significant assistance Type of Play : 3. Onlooker Outdoor play duration: Not there Academic History: Is child enrolled in school: Yes Type of school: Regular Name of School: Sprouts the kindergarten Grade: 1 Hours spent in school: 7 hours Location: Hyderabad Diet History: Food preferences: Picky eater Junk food intake: Nil Sleep History Total sleep duration (night): 8-9 hours Afternoon nap: No Daily Screen Time Duration: Zero 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 : 10-Apr-2026 11:55AM Demographic Details

Child's Name: Vaishnavi
Age: 8 Year 5 Month 21 Days
Gender: Female
DOB: 2017-10-20
Contact: 9582063905
Referred By: Doctor
Informant: Parents

Interaction history:

Eye contact: Poor
Quality of Interaction: limited

Behavioral history:

Repetitive behaviors (RRBs): Earlier was looking at lateral angle of eyes Patterned behavior or activities: Hyperactivity Inattention Impulsivity Object obsession Temper tantrums Stubbornness Aggression
Sensory Concerns:

Tactile: Hypersensitive
Proprioception: Seeks pressure

Details:: Doesnt like messy things

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): MSL
Gestational Age: FT
Birth Weight: 2.5 kg
Cry at birth: Cried immediately after birth
Resuscitation required: Yes
NICU stay: Yes
If yes- Duration & Indication: Admitted for NNHB for 4 days

Past history:

Hospitalization: Yes Seizures: Yes Others: Around 4.5 years- febrile seizure. EEG- normal

Past/Current therapies: OT, ABA since 5 years Investigations done-

Hearing assessment: Not done Vision assessment: Not done

Family history:

Neuropsychiatric condition: Yes Others: Father's paternal aunt (bua) ID

Developmental History:

Gross Motor

Neck holding: Achieved

Age of attainment: (completed at 1 year)
Roll over: Achieved

Age of attainment: 6 months
Sitting without support: Achieved

Age of attainment: 11 months
Standing without support: Achieved

Age of attainment:
Walking without support: Achieved

Age of attainment: 18 months
Running: Achieved

Age of attainment:
Climbing upstairs: Achieved

Age of attainment:
Climbing downstairs: Achieved

Age of attainment:
Hopping: Not achieved

Fine Motor

Bidextrous grasp: Achieved

Age of attainment: 6 months

Unidextrous grasp: Achieved

Age of attainment: 8 months

Pincer grasp: Achieved

Age of attainment: 4 years

Drinking from cup: Achieved

Age of attainment:

Buttoning / Unbuttoning: Not achieved

Language

Receptive:-

Joint attention: Achieved

Age of attainment: 2 years
Pointing: Achieved

Age of attainment: 12 months

Expressive:-

Cooing: Achieved

Age of attainment: 4 months

Babbling: Achieved

Age of attainment: 12 months

Meaningful words: Achieved

Age of attainment: 5 years

2 word Phrases: Achieved

Age of attainment:

Expressive:-

Cooing: Achieved

Age of attainment: 4 months

Babbling: Achieved

Age of attainment: 12 months

Meaningful words: Achieved

Age of attainment: 5 years

2 word Phrases: Achieved

Age of attainment:

Communication & Language Assessment

Non-Verbal Communication Grading:-

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

Answering Questions:-

Echolalia: Present Patterned speech: Present

Social

Social smile: Achieved

Age of attainment: Not achieved
Stranger anxiety: Achieved

Age of attainment:
Waving bye bye: Not achieved
Asking for food and toilet: Achieved

Age of attainment:

Response to Name Call

Details: 8/10

Sitting tolerance- (in minutes)

For interaction: Sits to hear stories
For tasks: More for taska

ADL Skills (Age-appropriate)-

Eating: 5. Independent
Bathing: 2. Started attempting
Toilet training: 4. Needs minimal assistance
Dressing: 3. Needs significant assistance
Undressing: 3. Needs significant assistance

Type of Play : 3. Onlooker Outdoor play duration: Not there Academic History:

Is child enrolled in school: Yes
Type of school: Regular
Name of School: Sprouts the kindergarten
Grade: 1
Hours spent in school: 7 hours
Location: Hyderabad

Diet History:

Food preferences: Picky eater
Junk food intake: Nil

Sleep History

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

Daily Screen Time

Duration: Zero

Examination

a. Vitals:

b. Anthropometry:

c. General Examination

d. CNS: Higher Mental Functions

Sensory Examination

Cranial Nerves (1–12)

Neuromuscular Concerns

Oromotor Examination

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