Date: Two Months

3/24/2018
Date: Name: DOB:
5/24/2018 Rundi Smith 3/24/2001
Height: Weight: Head circumference: Percentile:
22 in 11 lbs 15.5 in 50%
Physical Check: Developmental Milestones:
Hair/Skin/Nails: no rashes, even tone Smiles, makes gurgling sounds, pays attention to
faces and objects, holds up head when on stomach
Ears: good responses to auditory stimuli
Eyes: focuses on faces
Mouth: no infection
Heart: no irregularities
Lungs: no irregularities
Hips/Legs: good mobility
Genitalia: no irregularities

Parent comments:

Parents say baby sleeps for 16 hours of the day, drinks approximately 4 ounces, 6 times a day, have car

seat for her, do not take her out of house more than necessary, take sanitary precautions when handling,

normal bowel movements

Vaccines:

HepB, RV1, DTaP, Hib, PCV13, IPV

Doctor comments:

Baby is healthy and hits developmental milestones for age

 Date: Four Months

3/24/2018
Date: Name: DOB:
7/24/2018 Rundi Smith 3/24/2001
Height: Weight: Head circumference: Percentile:
24 in 14 lbs 16 in 50%
Physical Check: Developmental Milestones:
Hair/Skin/Nails: no rashes, even tone Babbles, copies facial expressions, plays with toys,
watches movements closely
Ears: good responses to auditory stimuli, normal fluid
Eyes: can see at a distance
Mouth: no infection, beginning to grow teeth
Heart: no irregularities
Lungs: no irregularities
Hips/Legs: flexible
Genitalia: no irregularities

Parent comments:

Parents say baby sleeps for 14 hours of the day, drinks approximately 4 ounces, 5 times a day, have car

seat for her, give her different toys, have regular tummy time, normal bowel movements

Vaccines:

RV1, DTaP, Hib, PCV13, IPV

Doctor comments:

Baby is healthy and hits developmental milestones for age

 Date: Six Months

3/24/2018
Date: Name: DOB:
9/24/2018 Rundi Smith 3/24/2001
Height: Weight: Head circumference: Percentile:
26 in 16 lbs 17 in 50%
Physical Check: Developmental Milestones:
Hair/Skin/Nails: no rashes, even tone Plays with others, uses different letters, sits up
unassisted, emotional responses
Ears: good hearing and fluid levels
Eyes: good dilation, focuses on objects
Mouth: no infection, teething
Heart: no irregularities
Lungs: no irregularities
Hips/Legs: mobile, flexible, toned
Genitalia: no irregularities

Parent comments:

Parents say baby sleeps for 15 hours of the day, drinks approximately 6 ounces, 5 times a day, play with

her as much as possible, read to her, normal bowel movements, asked about solid food

Vaccines:

HepB, DTaP, PCV13, IPV, IIV

Doctor comments:

Baby is healthy and hits developmental milestones for age, can begin trying solids with one new food being

introduced every three days

 Date: Nine Months

3/24/2018
Date: Name: DOB:
12/24/2018 Rundi Smith 3/24/2001
Height: Weight: Head circumference: Percentile:
28 in 18 lbs 17 in 50%
Physical Check: Developmental Milestones:
Hair/Skin/Nails: no rashes, even tone Makes a variety of sounds, crawls, shows favoritism,
notices changes in environment
Ears: normal fluid, responds to auditory stimuli
Eyes: good dilation of pupils, can see from a distance
Mouth: most teeth in
Heart: no irregularities
Lungs: no irregularities
Hips/Legs: toned and hold weight well
Genitalia: no irregularities

Parent comments:

Parents say baby sleeps for 16 hours of the day, drinks approximately 7 ounces, 4 times a day, responding

well to solid foods, normal bowel movements

Vaccines:

IIV

Doctor comments:

Baby is healthy and hits developmental milestones for age

 Date: One Year

3/24/2018
Date: Name: DOB:
3/24/2019 Rundi Smith 3/24/2001
Height: Weight: Head circumference: Percentile:
29 in 22 lbs 18 in 50%
Physical Check: Developmental Milestones:
Hair/Skin/Nails: no rashes, even tone Displays emotion with different expressions, stands
without assistance, takes a few steps, understands
Ears: good fluid, responds to auditory stimuli
commands
Eyes: pupils dilate, eyes follow movements
Mouth: no infection, teeth grown
Heart: no irregularities
Lungs: no irregularities
Hips/Legs: good strength and tone, can stand
Genitalia: no irregularities

Parent comments:

Parents say baby sleeps for 14 hours of the day, drinks approximately 8 ounces, 3 times a day, plays and

engages with others very well, normal bowel movements

Vaccines:

PCV13, IIV, MMR, VAR, HepA

Doctor comments:

Baby is healthy and hits developmental milestones for age