Points tro parts ol Dcll (3 Parts)

Walks upstairs with help Walks Backwards Says Two Words Walks Alone Throws Alone Welks with Help
Pats a Caxe Fine Prelrension Pellet

St
-Raases setf to si:Dng Trans'ers obiects hand to hanc Turns head to sound of Bell/Rattle

--- -.
posmn

Rolls frorn back to stomactr

Holds h6ad sleady

Eyes follow Pcry'Pencil

Social Smile ,

123456 -

7 8910

11 12 13 14 15 t6 17 tt1t20

n Z2A
:1 ;' :-t

21

Sodl]l3.

Note: To use tiis chart, keep a pencil vertically on the age of the child All r:r?stD-?s .a E-g :J i:fE pencil should have been achieved by the child. Based on BSID Baroda norms & Trivandrum Development Screening Chan ffDSi!

A (D lu - zl
^-l

.5i

deryi i
-l

-Pl
I
I

\r S $
rS tt\
tgt

tn
S-

il ta

.P
(\
.O

_^^l==J
-?.-

B
(\

s\ (\
=i

s = =
-:-D l-==

o-'c -'\ 3;g

a0)

--:Y =3:o=

= = = = - == - )=j

r
{ -'
.f b
a

z o o o
TD TD

E, II

= C =
o o -{ - oo F
!

={ < J=5,
oo
-f
\,

gqHH ?Gq=
=
(D

, o c o Ct
(5

= o

9.

E, o -a

! I

0 N

N (,

+5 dP :=(Dx
-.,^ -t.*;

<
:

X=XD

A A)

\, t+=
,\ .-'

)qF

5 p
3

5 o) 5 Pir- g,

:;! E:

N = -{

Eg
=

tiB

ts b

CL d: o)lJr
'9r,

I ,-

6 z
o
tr
I

-d

s)

?/

BIRTH RECORD
Date & Time of
2

IMMUNIz/A'
VACCINE
-m =il a.t
.^if

N RECORD
l)tJt GIVEN
ON

oN

Length
Delivery
Blood

Birth Weight. Head Circum. .. "rYPHrMvr

Fr fiN I rrahiltr

.
,

'

0,,

,r
t.t

I irlhnll | {r'-

n
I

' $ h
(h

{\'\"rn 'X

-' ?' llt

Group.

:) lA + "'' !{.1o..

.rrr,...

rl'ri"'

[,] nn

,r,:l,,, r:::,, 1i n,.,.,.,. ,

,,,,
^

l.l L'

Oral Polio - 1st dose is B - 1st dose DPT 1st dose Oral Polio - 2nd dose

6lrrlot
t f nlot
r . I lr I

tr

l1r (9
/t

i-1i1|il;:: irolr l',1\lllll

,

atitisB -2nddose
10 weeks 14 weeks

\
)

i. . rF r '...

!t

'l-{Y;tA; tl
itisB-3rddose

GROWTH RECORD
H'==t,
trtl{ rN

toltl

-9 months

9 months
1
JD

5-18

B:s; (!\.\o
'f-rOO

months
5

i.t'

years

l0yoars
16 years

OTHTH VN(;CINI
lr '

rOr.\D : oPPc
c.

-OO* o gl'\lI

Haemophl lus lnlluenzae TYPe

1sl
2ncl

lt

$F[, Ut Cr

(lr r0

h,

6 weeks lo 5 yearS dosc dopondt; olt ;rge

Varlcclla (Chlcken Pox) v// I year to l2 yoals one dose
12 years onwarrds-two doses

3rd

l. i.-.-lv ill
f+-.-vl\
1O

, '.f / /() 'l

ltv

--1 . '

l! ,,,(
Jr-lI {t;

&

Iffi

x*iirr*.:

rll".l*,

",

Bo<tslrl

lsl
2ncl
I
1

Every 3 yoars

2)

llecomrnended visit lst Year : One vistl / Monttt 2nd & 3rd Year : Orttt vir;tt / lwrl tttot tllrl; 4th Year onwalds Orto vt:;tl / llttr-rr.r tttotltlt:;
:

alito

N.B 'Tltr:; :;t:lttttfutlt: rc ba

will ltt: rrntdiiccl as
li

on recomrnendations by
need of the child.
I

/r