Create - Child Development Centre

Patient Details


OPD : 19-May-2026 10:07AM Demographic Details Child's Name: Samridhi chourasiya Age: 8 Year 8 Month 14 Days Gender: Female DOB: 2017-09-05 Mother’s age (years): 35 years Mother’s occupation: homemaker Father’s age (years): 38 years Father’s occupation: own medical Type of family: Joint Number of family members: 2 Number of siblings: 0 Address: Bara, Kota Contact: 8278629738 Referred By: Doctor Informant: Mother Presenting Concerns Chief concerns: Hand flapping, irrelevant laughing Duration of symptoms: Noticed since 4 years of age Interaction history: Eye contact: Fleeting Quality of Interaction: limited Behavioral history: Repetitive behaviors (RRBs): Handflapping Inattention Temper tantrums Stubbornness Mouthing of objects Others Emotional History Details: Irrelevant laughing Birth & Perinatal History: Antenatal History Consanguinity: No Type of conception: Natural Natal and Postnatal History: Place of Birth: Institutional Mode of Delivery: NVD Gestational Age: FT Birth Weight: 2.2 Kg Cry at birth: Cried immediately after birth Resuscitation required: No NICU stay: Yes If yes- Duration & Indication: admitted for 2 days for NNHB Past history: Hospitalization: Yes Seizures: No Others: at 3 years age 1BT for severe anemia Past/Current therapies: OT since 4 years age. Took for 1 year. Speech therapy for 1 year. Investigations done- Hearing assessment: Done Details: BERA- normal Vision assessment: Done Family history: Neuropsychiatric condition: No Developmental History: Gross Motor Neck holding: Achieved Age of attainment: 4 months Roll over: Achieved Age of attainment: 5 months Sitting without support: Achieved Age of attainment: 8 months Standing without support: Achieved Age of attainment: 12 months 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: Achieved Age of attainment: Standing on one foot: 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 Scribbling: Achieved Age of attainment: Drinking from cup: Achieved Age of attainment: Buttoning / Unbuttoning: Not achieved Language Receptive:- Joint attention: Achieved Age of attainment: 12 months Pointing: Achieved Age of attainment: 12 months Understanding gestures: Achieved Age of attainment: Following commands: 1-step Expressive:- Cooing: Achieved Age of attainment: 4 months Babbling: Achieved Age of attainment: 6 months Meaningful words: Achieved Age of attainment: 12 months 2 word Phrases: Not achieved Expressive:- Cooing: Achieved Age of attainment: 4 months Babbling: Achieved Age of attainment: 6 months Meaningful words: Achieved Age of attainment: 12 months 2 word Phrases: Not achieved Communication & Language Assessment Non-Verbal Communication Grading:- Need-based communication: Emerging Understanding gestures: Emerging Following commands (gesture + verbal): 1-step Answering Questions:- Echolalia: Present Social Social smile: Achieved Age of attainment: 3 months Stranger anxiety: Achieved Age of attainment: 8 months Waving bye bye: Achieved Age of attainment: Asking for food and toilet: Not achieved Response to Name Call Details: 3/10 Sitting tolerance- (in minutes) For interaction: Can sit for 30 minutes For tasks: Can sit for 30 minutes ADL Skills (Age-appropriate)- Eating: 5. Independent Bathing: 4. Needs minimal assistance Toilet training: 4. Needs minimal assistance Dressing: 4. Needs minimal assistance Undressing: 4. Needs minimal assistance Type of Play : 3. Onlooker Academic History: Is child enrolled in school: Yes Type of school: Regular Name of School: Shree Kids Grade: 1 Hours spent in school: 4 hours Location: Kota Additional information: Discontinued Diet History: Food preferences: Mixed Food allergies: No Junk food intake: Nil Sleep History Total sleep duration (night): 7-8 hours Afternoon nap: Yes Duration of Afternoon nap: 1-1.5 hours Daily Screen Time Duration: Zero Examination a. Vitals: b. Anthropometry: Weight: 35Kg Height: 140 cm Head circumference: 53 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 CVS examination: NAD Respiratory System examination: NAD Per abdomen examination: NAD Impression: ASD Advice Follow up plan: After 1 month General recommendation- Zero Screen Time Physical interactive play No Junk food

OPD : 19-May-2026 10:07AM Demographic Details

Child's Name: Samridhi chourasiya
Age: 8 Year 8 Month 14 Days
Gender: Female
DOB: 2017-09-05
Mother’s age (years): 35 years
Mother’s occupation: homemaker
Father’s age (years): 38 years
Father’s occupation: own medical
Type of family: Joint
Number of family members: 2
Number of siblings: 0
Address: Bara, Kota
Contact: 8278629738
Referred By: Doctor
Informant: Mother

Presenting Concerns

Chief concerns: Hand flapping, irrelevant laughing
Duration of symptoms: Noticed since 4 years of age

Interaction history:

Eye contact: Fleeting
Quality of Interaction: limited

Behavioral history:

Repetitive behaviors (RRBs): Handflapping Inattention Temper tantrums Stubbornness Mouthing of objects Others Emotional History Details: Irrelevant laughing

Birth & Perinatal History: Antenatal History

Consanguinity: No
Type of conception: Natural

Natal and Postnatal History:

Place of Birth: Institutional
Mode of Delivery: NVD
Gestational Age: FT
Birth Weight: 2.2 Kg
Cry at birth: Cried immediately after birth
Resuscitation required: No
NICU stay: Yes
If yes- Duration & Indication: admitted for 2 days for NNHB

Past history:

Hospitalization: Yes Seizures: No Others: at 3 years age 1BT for severe anemia

Past/Current therapies: OT since 4 years age. Took for 1 year. Speech therapy for 1 year. Investigations done-

Hearing assessment: Done Details: BERA- normal Vision assessment: Done

Family history:

Neuropsychiatric condition: No

Developmental History:

Gross Motor

Neck holding: Achieved

Age of attainment: 4 months
Roll over: Achieved

Age of attainment: 5 months
Sitting without support: Achieved

Age of attainment: 8 months
Standing without support: Achieved

Age of attainment: 12 months
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: Achieved

Age of attainment:
Standing on one foot: 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

Scribbling: Achieved

Age of attainment:

Drinking from cup: Achieved

Age of attainment:

Buttoning / Unbuttoning: Not achieved

Language

Receptive:-

Joint attention: Achieved

Age of attainment: 12 months
Pointing: Achieved

Age of attainment: 12 months
Understanding gestures: Achieved

Age of attainment:
Following commands: 1-step

Expressive:-

Cooing: Achieved

Age of attainment: 4 months

Babbling: Achieved

Age of attainment: 6 months

Meaningful words: Achieved

Age of attainment: 12 months

2 word Phrases: Not achieved

Expressive:-

Cooing: Achieved

Age of attainment: 4 months

Babbling: Achieved

Age of attainment: 6 months

Meaningful words: Achieved

Age of attainment: 12 months

2 word Phrases: Not achieved

Communication & Language Assessment

Non-Verbal Communication Grading:-

Need-based communication: Emerging
Understanding gestures: Emerging
Following commands (gesture + verbal): 1-step

Answering Questions:-

Echolalia: Present

Social

Social smile: Achieved

Age of attainment: 3 months
Stranger anxiety: Achieved

Age of attainment: 8 months
Waving bye bye: Achieved

Age of attainment:
Asking for food and toilet: Not achieved

Response to Name Call

Details: 3/10

Sitting tolerance- (in minutes)

For interaction: Can sit for 30 minutes
For tasks: Can sit for 30 minutes

ADL Skills (Age-appropriate)-

Eating: 5. Independent
Bathing: 4. Needs minimal assistance
Toilet training: 4. Needs minimal assistance
Dressing: 4. Needs minimal assistance
Undressing: 4. Needs minimal assistance

Type of Play : 3. Onlooker Academic History:

Is child enrolled in school: Yes
Type of school: Regular
Name of School: Shree Kids
Grade: 1
Hours spent in school: 4 hours
Location: Kota
Additional information: Discontinued

Diet History:

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

Sleep History

Total sleep duration (night): 7-8 hours
Afternoon nap: Yes
Duration of Afternoon nap: 1-1.5 hours

Daily Screen Time

Duration: Zero

Examination

a. Vitals:

b. Anthropometry:

Weight: 35Kg Height: 140 cm Head circumference: 53 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

CVS examination: NAD
Respiratory System examination: NAD
Per abdomen examination: NAD

Impression: ASD

Advice

Follow up plan: After 1 month
General recommendation-
1. Zero Screen Time
2. Physical interactive play
3. No Junk food

Setting Panel

Select Layout

Light Dark

Sidebar Color

Color Theme

Mini Sidebar

Sticky Header

Patient Details print

Select Layout

Sidebar Color

Color Theme

Patient Details