|
Hospital name and location
|
|
|
Baby's name
|
|
|
Date of birth
|
|
|
Weight
|
lbs |
|
Names of parents
|
|
|
Address
|
|
Contact Name
|
|
|
Phone number
|
|
|
Siblings
|
|
|
(INCLUDE FIRST AND LAST NAMES)
|
|
Maternal grandparents' name, city
|
|
|
Paternal grandparents' name, city
|
|
Great-grandparents' names
and city |
|
|
|
|