Newborn Immunization Record Card
Newborn Information
Name:
Date of Birth:
Sex:
Mother's Name:
Father's Name:
Address:
Contact Number:
Immunization Record
Vaccine
Date Given
Batch No./Expiry
Given By
Remarks
BCG
Hepatitis B (Birth Dose)
OPV
DTaP
Hib
IPV
Pneumococcal
Rotavirus
Next Due Date
Vaccine/Dose:
Due Date:
Notes