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Revised 2011
PREGNANCY RECORD
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Blood Group BMI Height (cm) Allergies

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Please take this card to clinic I hospital when seeking services

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Name of the mother
Identified antenatal risk conditions & morbidities
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Registration No and date

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Body Temperature Normal for last 2 Days Diagnosis card given if indicated
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Telephone No of PHM; Grama Niladari Division

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START BREAST FEEDING WITHIN THE IST
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Telephone No of PHM; Grama Niladari Division

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START BREAST FEEDING WITHIN THE IST
HOUR AFTER BIRTH
a
~es@d 633 O m 6 (@I 180)d $acid a a ~ 6 O06G
z esO&dO a@ib a
h

fipljdd@@gj~ , mrrgi~ssir (180 paicssir) yik@&lurr@ha~mg


g ~ @ s i6 grniruuamm mi(ijrb mri~qLb. E
GIVE ONLY BREAST MILK FROM BIRTH TO COMPLETION OF 6 MONTHS (180 DAYS) OF AGE E

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