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______________ Hospital / Health Service
WACHS BOYS Birth to 2 years
Growth Chart Doctor: ______________________________
Surname UMRN / MRN
Given Name DOB Gender
Address Post Code
Telephone
SOURCE WHO Child Growth Standards WACHS VERSION EFFECTIVE: 30 May 2019 – Adapted from Child and Adolescent Health Service/ Princess Margaret Hospital for Children MR130.01 PAGE 1
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IRTH
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______________ Hospital / Health Service
WACHS BOYS Birth to 2 years
Growth Chart Doctor: ______________________________
Surname UMRN / MRN
Given Name DOB Gender
Address Post Code
Telephone
SOURCE WHO Child Growth Standards PAGE 2
______________ Hospital / Health Service
WACHS BOYS Birth to 2 years
Growth Chart Doctor: ______________________________
Surname UMRN / MRN
Given Name DOB Gender
Address Post Code
Telephone
SOURCE WHO Child Growth Standards PAGE 3
PAGE 4