Literal question
506) (1) COPY VACCINATION DATE FOR EACH VACCINE FROM THE CARD.
(2) WRITE '44' IN 'DAY' COLUMN IF CARD SHOWS THAT A VACCINATION WAS GIVEN, BUT NO DATE IS RECORDED.
(3) IF MORE THAN TWO VITAMIN 'A' DOSES, RECORD DATES FOR MOST RECENT AND SECOND MOST RECENT DOSES.
BCG
DAY __ __
MONTH __ __
YEAR __ __ __ __
POLIO 0 (POLIO GIVEN AT BIRTH)
DAY __ __
MONTH __ __
YEAR __ __ __ __
POLIO 1
DAY __ __
MONTH __ __
YEAR __ __ __ __
POLIO 2
DAY __ __
MONTH __ __
YEAR __ __ __ __
POLIO 3
DAY __ __
MONTH __ __
YEAR __ __ __ __
DPT-HepB-Hib 1
DAY __ __
MONTH __ __
YEAR __ __ __ __
DPT-HepB-Hib 2
DAY __ __
MONTH __ __
YEAR __ __ __ __
DPT-HepB-Hib 3
DAY __ __
MONTH __ __
YEAR __ __ __ __
MEASLES
DAY __ __
MONTH __ __
YEAR __ __ __ __
VITAMIN A (MOST RECENT)
DAY __ __
MONTH __ __
YEAR __ __ __ __
VITAMIN A (2nd MOST RECENT)
DAY __ __
MONTH __ __
YEAR __ __ __ __