Health Record For Baby Boys Page 3
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28Dear Parents
Congratulations to you on the birth of your new baby. This book is your baby’s
health record. It has all the details regarding his or her birth and the period
thereafter. It will be updated by the staff in UHS as and when required. Please keep
it safely and remember to bring it along each time you visit the UHS for your baby
as it contains all the basic information required by your baby’s doctor.
Your baby’s Personal Details
Baby’s name
: ______________________________________________________
Mother’s name
: ______________________________________________________
Father’s name
: ______________________________________________________
Sex
: ______________________________________________________
Nationality
: ______________________________________________________
Address
: ______________________________________________________
______________________________________________________
Contact numbers
: ______________________________________________________
______________________________________________________
Parent’s Email ID
: ______________________________________________________
Unique Registration : ______________________________________________________
UHS
Your baby’s Birth Details
Date of Birth
: _______________________ Day : _________________________
Time of Birth
: ______________________________________________________
Gestational age
: ______________________________________________________
Type of delivery
: ______________________________________________________
APGAR scores
: 1 min ___________ 5 min ____________ 10 min ____________
Birth weight
: ______________________________________________________
Length at birth
: ______________________________________________________
Head circumference : ______________________________________________________
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