836. RECORD DATES OF IMMUNIZATIONS FROM BIRTH CARD. CIRCLE '1' IF THERE IS NO RECORD THE IMMUNIZATION WAS GIVEN. CIRCLE '2' IF IMMUNIZATION GIVEN BUT NO DATE IS RECORDED.
BCG
NO RECORD 1
NO DATE 2
DA__
MO__
YR__
POLIO 1
NO RECORD 1
NO DATE 2
DA__
MO__
YR__
DPT 1
NO RECORD 1
NO DATE 2
DA__
MO__
YR__
POLIO 2
NO RECORD 1
NO DATE 2
DA__
MO__
YR__
DPT 2
NO RECORD 1
NO DATE 2
DA__
MO__
YR__
POLIO 3
NO RECORD 1
NO DATE 2
DA__
MO__
YR__
DPT 3
NO RECORD 1
NO DATE 2
DA__
MO__
YR__
MEASLES
NO RECORD 1
NO DATE 2
DA__
MO__
YR__
(GO TO 825 FOR NEXT BIRTH, OR, IF NO OTHER BIRTH, GO TO 837)