Birth To 36 Months: Girls Length-For-Age And Weight-For-Age Percentiles Page 2

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B
36 M
: G
IRTH TO
ONTHS
IRLS
L
-
-A
W
-
-A
P
ENGTH
FOR
GE AND
EIGHT
FOR
GE
ERCENTILES
Name:
Patient ID:
Blood Type:
Date of Birth:
Mother’s Stature
Gestational
Age: ______ Weeks
Father’s Stature
Comments
Date
Age
Weight
Length
Head Circ.
* To Calculate BMI: Weight (kg) Stature (cm)  Stature (cm) x 10,000 or Weight (lb) Stature (in)  Stature (in) x 703

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