MILK (OTHER THAN BREAST MILK) A
PLAIN WATER B
SUGAR OR GLUCOSE WATER C
PHALA D
GRIPE WATER E
SALT AND SUGAR SOLUTION F
FRUIT JUICE G
INFANT FORMULA (E.G. LACTOGEN) H
TEA/INFUSIONS I
HONEY J
OTHER (SPECIFY) _____ X

MILK (OTHER THAN BREAST MILK) A
PLAIN WATER B
SUGAR OR GLUCOSE WATER C
GRIPE WATER D
SUGAR-SALT-WATER SOLUTION E
FRUIT JUICE F
INFANT FORMULA G
TEA H
HERBAL INFUSION I
HONEY J
PORRIDGE/DAWARE K
OTHER X