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Somarathi uses a picture communication display with 4 pictures to a page. She also uses Kathamala a Voice Output Communication Aid and a few gestures. Somarathi pointed at the pictures of her communication display and teacher wrote it down which was later recorded in the VOCA. Before recording the text, the teacher asked her if this is what she wanted to tell her peers. During Circle Time (exchange of messages) in the class, Somarathi pressed each of the messages which were represented by pictures.