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OPD : 13-Jun-2026 05:51PM Demographic Details Child's Name: Sunidhi Tomar Age: 4 Year Gender: Female DOB: 2022-05-20 Contact: 8878159644 Interaction history: Eye contact: Sustained Quality of Interaction: age-appropriate Behavioral history: Hyperactivity Inattention Sensory Concerns: Proprioception: Seeks pressure Details:: Auditory concerns reduced 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 Details: 4/10 Sitting tolerance- (in minutes) For interaction: 1-2 minutes For tasks: 1-2 minutes ADL Skills (Age-appropriate)- Eating: 2. Started attempting Bathing: 2. Started attempting Toilet training: 2. Started attempting Dressing: 2. Started attempting Undressing: 2. Started attempting Type of Play : 4. Parallel Outdoor play duration: 1:30 hours Academic History: Is child enrolled in school: No Diet History: Food preferences: Mixed Food allergies: No Junk food intake: 1-2 times/week Sleep History Total sleep duration (night): 10 hours Afternoon nap: No Duration of Afternoon nap: 1-1:30 hours Daily Screen Time Duration: < 1 hour Type of screen: TV Examination a. Vitals: b. Anthropometry: Head circumference: 47 cm c. General Examination d. CNS: Higher Mental Functions Sensory Examination Cranial Nerves (1–12) Neuromuscular Concerns Oromotor Examination Advice Intervention plan: IDP 2/week + LDP 1/week + PMT 1/15 days Evaluation: DQ (VSMS, DST), Speech and language evaluation Investigations: Pediatric orthopedician opinion Follow up plan: After 1 month General recommendation- Zero Screen Time Physical interactive play

OPD : 13-Jun-2026 05:51PM Demographic Details

Child's Name: Sunidhi Tomar
Age: 4 Year
Gender: Female
DOB: 2022-05-20
Contact: 8878159644

Interaction history:

Eye contact: Sustained
Quality of Interaction: age-appropriate

Behavioral history:

Hyperactivity Inattention
Sensory Concerns:

Proprioception: Seeks pressure

Details:: Auditory concerns reduced

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

Details: 4/10

Sitting tolerance- (in minutes)

For interaction: 1-2 minutes
For tasks: 1-2 minutes

ADL Skills (Age-appropriate)-

Eating: 2. Started attempting
Bathing: 2. Started attempting
Toilet training: 2. Started attempting
Dressing: 2. Started attempting
Undressing: 2. Started attempting

Type of Play : 4. Parallel Outdoor play duration: 1:30 hours Academic History:

Is child enrolled in school: No

Diet History:

Food preferences: Mixed
Food allergies: No
Junk food intake: 1-2 times/week

Sleep History

Total sleep duration (night): 10 hours
Afternoon nap: No
Duration of Afternoon nap: 1-1:30 hours

Daily Screen Time

Duration: < 1 hour
Type of screen: TV

Examination

a. Vitals:

b. Anthropometry:

Head circumference: 47 cm

c. General Examination

d. CNS: Higher Mental Functions

Sensory Examination

Cranial Nerves (1–12)

Neuromuscular Concerns

Oromotor Examination

Advice

Intervention plan: IDP 2/week + LDP 1/week + PMT 1/15 days
Evaluation: DQ (VSMS, DST), Speech and language evaluation
Investigations: Pediatric orthopedician opinion
Follow up plan: After 1 month
General recommendation-
1. Zero Screen Time
2. Physical interactive play

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