Literal question
511. (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 ONLY PART OF DATE IS SHOWN ON CARD, RECORD '98' OR '9998' FOR 'DOESN'T KNOW' IN THE COLUMN FOR WHICH INFORMATION IS NOT GIVEN.
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 1
DAY _______
MONTH _______
YEAR ______
DPT 2
DAY _______
MONTH _______
YEAR ______
DPT 3
DAY _______
MONTH _______
YEAR ______
MEASLES
DAY _______
MONTH _______
YEAR ______
VITAMIN A (LAST DOSE)
DAY _______
MONTH _______
YEAR ______
VITAMIN A (NEXT-TO-LAST DOSE)
DAY _______
MONTH _______
YEAR ______