Well Child Care, Measurements

Today's Date: ________

Date of Birth: ____________________

Newborn

  • Birth Weight: ____________________

  • Birth Length: ____________________

  • Birth Head Circumference (Size): ____________________

Infant/Child

  • Today's Length: ____________________

  • Today's Head Circumference (Size): ____________________

  • Today's Weight: ____________________

  • Today's Height: ____________________

  • Today's Body Mass Index (BMI): ____________________

  • Today's Blood Pressure: ____________________