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Bathry Baby Information Document

This document appears to be a medical record containing information about a birth. It includes sections for the mother's details, father's details, baby's details such as birth weight, and notes on procedures during labor and delivery. The document collects identifying information about the mother, father and baby as well as medical details of the delivery.

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dharul khair
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0% found this document useful (0 votes)
96 views2 pages

Bathry Baby Information Document

This document appears to be a medical record containing information about a birth. It includes sections for the mother's details, father's details, baby's details such as birth weight, and notes on procedures during labor and delivery. The document collects identifying information about the mother, father and baby as well as medical details of the delivery.

Uploaded by

dharul khair
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd

BHT - ……………………….

DOA - ……………………....

Para - ……………………….

Baby - ………………………

B.weight - ………………….

Gjpjhf gpwe;j Foe;ijapd; tpguk;


01. gpwe;j Foe;ijapd; gpwe;j jpfjp : …………………………………………………………………….
02. gpwe;j Foe;ijapd; ngau; : ……………………………………………………………………………
03. jfg;gdpd; Kog; ngau; : ………………………………………………………………………………..
gpwe;j jpfjp : ………………………………………………………………………………..
gpwe;j ,lk; : ………………………………………………………………………………...
04. jhapd; Kog; ngau; : …..………………………………………………………………………………..
gpwe;j jpfjp : ….………………………………………………………………………………..
gpwe;j ,lk; : …………………………………………………………………………………...
05. jw;NghJ tjpAk; ,lk; : ………………………………………………………………………………..
06. jpUkzk; nra;j ,lKk; : ……………………………………………………………………………...
jpfjpAk; : ……………………………………………………………………………..
07. ghl;ldpd; KOg; ngau; : ……………………………………………………………………………….
(jfg;gdpd; jfg;gd;)
ghl;ldpd; Njrpa milahs ml;il ,yf;fk; : …………...………………………………………...
ghl;ldpd; gpwe;j jpfjpAk; : …………………………………………………………………………….
,lKk; : …………………………………………………………………………...

08. ,g;gpujpAld; jfg;gd; , jha; ,UtuJk; gpwg;Gg; gj;jpuq;fSk; , jpUkzg; gjpTk; ,izf;fg;gl Ntz;Lk;.

( %yg; gpujp ghu;itapl;lJk; jpUg;gpj; jug;gLk; )

ifnahg;gk; : …………………………..
( jha; / jfg;gd; )
jhapd; Njrpa milahs ml;il ,yf;fk; : ………………………………………………………..
je;ijapd; Njrpa milahs ml;il ,yf;fk; : …..………………………………………………..
fpuhk Nrtfu; gpupT ,yf;fk; : ………………………………………………………………………...
tPl;L tpyhrk; : ………………………………………………………………………………………….
………………………………………………………………………………………….
gpuNjr nrayhsu; gpupT : ……………………………………………………………………………...
njhiyNgrp ,yf;fk; : …………………………………………………………………………………
Faazool Faiyas , Bathry…
2018
P.T.O
Mq;fpyj;jpy; g+u;j;jp nra;f
Mother’s full name - ……………………………………………………………………………………….

Father’s full name - ………………………………………………………………………………………..

Baby’s full name - …………………………………………………………………………………………

Faazool Faiyas , Bathry…


2018

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