7 Road to Health Chart zi r 4—}. i. I— «- AH §—9—8.-5 Ddintes en DG dan ngneseeedetbenan ccc. ee eee ceeccce ce eee cence Child's no. 8 - ELERL Clikl's nan 18 bem ee re eee eee 2 ey IMMUTUSATION 17 Dinter of ttavnnaisitien | ceeee eee ceaeeeres Boy/ Gil PVianter OF sane WAQUAD cece eee cc enews eters esteseeenes Ruyistsution No. Mother's name PDindea Ob carterteenNe oe cee ceee scene reece ce eeuees eT Po a ee ee ee te - | — - , tJ -j—- — oe a wd J . — ~~ +4 am Sitar wa. I2 “RJ 5 a -i-— eT + Lr" Ty Be i tig HEAT TT SS 4 oe +4 al AL 4 + 1 -e + 7 tba 4 t = Lod Ld h ~-4f- o ft 4 ft -E = Protea cob Vig SU Reuben AN tbeAEHOND ooo. cece ces ccecereesecaeseseeaes AT - 4 -L4 Sm eee ee POLIOMY CLOTS ILIMUNISA TION fiugistration No. Father's name te ree = ee cee ee ew ed +4 4— H} Pieter Ob serccneneh cnnneeeeenndssnbdaeee ooo... ceccessceeesssenrerense ves Date tisst seen Barthday-birthweight Date of eicad devngupeeeeesadaey oo... 0. cece cece cece eee ae ee 44 +t -4- = ee eee oe —- ce ae ee ee WHOOPING COUGH,TETANUS& DIPLITHENIA IMMUNISATION Where the family live: address PAU IRURS VL TILL) ie | + 4 “fh =# - r-T Darter of saccevved davsteunnanisintianin se... ceccc ccctcaccecceeeees 4 ic Tptttids i] 4 4p az] 44] ac 48 | Eider BO 62 | be] se Yeu of birth Boy/Girl MEASLES IMMUEHSATION Remauks CDande anf dames tied cee ce cee rere eeceansene er cas co OTHE IMMUNISA HONS, 3-4 years 4-5years Pere COCO PY OC irrer eve rr err Cteres ete ree eee eee ee Cee eee eee Pee eee eee Se ae — wen Coates col dete ad dannnneaasiaaetiagn cc... eee ee cees ace ceeeeee ears BROTHERS AND SISTERS I EL LL Af + -——- —e oe 4s -— ee me le —- Clinic on. ee ee oe ‘19 -j-j-}. E- ametee. | ANTE FOUCCUIOGES IMMUNISA LIGN (ACG) —=- 2G r

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