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Nepal 2006
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Nepal 2006
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1005B.
(1) COPY VACCINATION DATE FOR EACH VACCINE FROM THE CARD(S).
(2) WRITE '44' IN 'DAY' COLUMN IF CARD SHOWS THAT A VACCINATION WAS GIVEN, BUT NO DATE IS RECORDED.

TT1
DAY __ MONTH __ YEAR __ (GO TO 10053)
TT2
DAY __ MONTH __ YEAR __ (GO TO 10053)
TT3
DAY __ MONTH __ YEAR __ (GO TO 10053)
TT4
DAY __ MONTH __ YEAR __ (GO TO 10053)
TT5
DAY __ MONTH __ YEAR __ (GO TO 10053)