This appointment means the thme fa saved
especially for you.
If you cannot keep your appointment, °
.
nolify the nurse.
Please make appointment before clinic.
Date
Welplit
himunization
Special
Retusm
Noles
ute
ae
If your child should become sick,
take to your doctor.
Date
|
Weight
hutniunt cation
Special
Noles
Retusn
Dale: