Step 1: Treatment of clinical vitamin A deficiency uses age and weight based oral mega-doses. The standard oral regimen for a child more than 1 year of age and over 8 kg is 200,000 IU (2 lakh IU).
Step 2: This boy is 2 years old and weighs 12 kg, so he qualifies for the full adult-type oral dose of 2 lakh IU, given on the day of presentation, the next day, and again 2-4 weeks later.
Step 3: The 50,000 IU and 1 lakh IU doses apply to younger or lighter infants (under 6 months and under 1 year / under 8 kg respectively), so they are incorrect for this child. Hence the answer is 2 lakh IU.