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OPD : 13-Jun-2026 04:26PM Demographic Details Child's Name: Dharvi Singh Age: 2 Year 11 Month 10 Days Gender: Female DOB: 2023-07-03 Type of family: Joint Number of family members: 6 Number of siblings: 1 Details of siblings (Age and sex): 7 year old male Contact: 7987853809 Referred By: Doctor Informant: Parents Presenting Concerns Duration of symptoms: Noticed 6 months back Interaction history: Eye contact: Poor Quality of Interaction: limited Behavioral history: Repetitive behaviors (RRBs): Toe walking Patterned behavior or activities: Inattention Impulsivity Object obsession Temper tantrums Stubbornness Others Emotional History Details: Irrelevant laughing Sensory Concerns: Visual: Seeks visuals Proprioception: Seeks pressure Birth & Perinatal History: Antenatal History Consanguinity: No Type of conception: Natural Natal and Postnatal History: Place of Birth: Institutional Indication for LSCS (if applicable): Prev LSCS Gestational Age: FT Birth Weight: 3.1 Kg Cry at birth: Cried immediately after birth Resuscitation required: No NICU stay: No Past history: Hospitalization: No Seizures: No Past/Current therapies: 3 months OT Investigations done- Hearing assessment: Done Details: OAE- normal Vision assessment: Done Details: Normal Family history: Neuropsychiatric condition: No Developmental History: Gross Motor Neck holding: Achieved Age of attainment: 3 months Roll over: Achieved Age of attainment: 5 months Sitting without support: Achieved Age of attainment: 7 months Standing without support: Achieved Age of attainment: 10 month Walking without support: Achieved Age of attainment: 12 months Running: 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 Language Receptive:- Joint attention: Not achieved Pointing: Not achieved Understanding gestures: Not achieved Following commands: Not following Expressive:- Cooing: Achieved Age of attainment: 4 months Babbling: Achieved Age of attainment: 6 months Meaningful words: Not achieved Expressive:- Cooing: Achieved Age of attainment: 4 months Babbling: Achieved Age of attainment: 6 months Meaningful words: Not achieved Communication & Language Assessment Non-Verbal Communication Grading:- Need-based communication: Emerging Drag for needs: Emerging Joint attention: Absent Pointing: Absent Understanding gestures: Absent Following commands (gesture + verbal): Nil Answering Questions:- Echolalia: Present Social Social smile: Achieved Age of attainment: 2 months Stranger anxiety: Achieved Age of attainment: 8 months Waving bye bye: Not achieved Response to Name Call Details: 5/10 Sitting tolerance- (in minutes) For interaction: 2-3 minutes For tasks: Better for tasks ADL Skills (Age-appropriate)- Eating: 4. Needs minimal assistance Bathing: 2. Started attempting Toilet training: 2. Started attempting Dressing: 2. Started attempting Undressing: 2. Started attempting Type of Play : 2. Isolated Academic History: Is child enrolled in school: No Diet History: Food preferences: Mixed Food allergies: No Junk food intake: Nil Sleep History Total sleep duration (night): 10 Afternoon nap: No Duration of Afternoon nap: Occasional afternoon nap Daily Screen Time Duration: Zero Examination a. Vitals: b. Anthropometry: Weight: 14 Kg Height: 92 cm Head circumference: 49 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 Examination summary: M chat - 15 (High risk) 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 : 13-Jun-2026 04:26PM Demographic Details

Child's Name: Dharvi Singh
Age: 2 Year 11 Month 10 Days
Gender: Female
DOB: 2023-07-03
Type of family: Joint
Number of family members: 6
Number of siblings: 1
Details of siblings (Age and sex): 7 year old male
Contact: 7987853809
Referred By: Doctor
Informant: Parents

Presenting Concerns

Duration of symptoms: Noticed 6 months back

Interaction history:

Eye contact: Poor
Quality of Interaction: limited

Behavioral history:

Repetitive behaviors (RRBs): Toe walking Patterned behavior or activities: Inattention Impulsivity Object obsession Temper tantrums Stubbornness Others Emotional History Details: Irrelevant laughing
Sensory Concerns:

Visual: Seeks visuals
Proprioception: Seeks pressure

Birth & Perinatal History: Antenatal History

Consanguinity: No
Type of conception: Natural

Natal and Postnatal History:

Place of Birth: Institutional
Indication for LSCS (if applicable): Prev LSCS
Gestational Age: FT
Birth Weight: 3.1 Kg
Cry at birth: Cried immediately after birth
Resuscitation required: No
NICU stay: No

Past history:

Hospitalization: No Seizures: No

Past/Current therapies: 3 months OT Investigations done-

Hearing assessment: Done Details: OAE- normal Vision assessment: Done Details: Normal

Family history:

Neuropsychiatric condition: No

Developmental History:

Gross Motor

Neck holding: Achieved

Age of attainment: 3 months
Roll over: Achieved

Age of attainment: 5 months
Sitting without support: Achieved

Age of attainment: 7 months
Standing without support: Achieved

Age of attainment: 10 month
Walking without support: Achieved

Age of attainment: 12 months
Running: 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

Language

Receptive:-

Joint attention: Not achieved
Pointing: Not achieved
Understanding gestures: Not achieved
Following commands: Not following

Expressive:-

Cooing: Achieved

Age of attainment: 4 months

Babbling: Achieved

Age of attainment: 6 months

Meaningful words: Not achieved

Expressive:-

Cooing: Achieved

Age of attainment: 4 months

Babbling: Achieved

Age of attainment: 6 months

Meaningful words: Not achieved

Communication & Language Assessment

Non-Verbal Communication Grading:-

Need-based communication: Emerging
Drag for needs: Emerging
Joint attention: Absent
Pointing: Absent
Understanding gestures: Absent
Following commands (gesture + verbal): Nil

Answering Questions:-

Echolalia: Present

Social

Social smile: Achieved

Age of attainment: 2 months
Stranger anxiety: Achieved

Age of attainment: 8 months
Waving bye bye: Not achieved

Response to Name Call

Details: 5/10

Sitting tolerance- (in minutes)

For interaction: 2-3 minutes
For tasks: Better for tasks

ADL Skills (Age-appropriate)-

Eating: 4. Needs minimal assistance
Bathing: 2. Started attempting
Toilet training: 2. Started attempting
Dressing: 2. Started attempting
Undressing: 2. Started attempting

Type of Play : 2. Isolated Academic History:

Is child enrolled in school: No

Diet History:

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

Sleep History

Total sleep duration (night): 10
Afternoon nap: No
Duration of Afternoon nap: Occasional afternoon nap

Daily Screen Time

Duration: Zero

Examination

a. Vitals:

b. Anthropometry:

Weight: 14 Kg Height: 92 cm Head circumference: 49 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

Examination summary: M chat - 15 (High risk) 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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