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Section D
Section E
Section F
Section G
Section H
Section I
Section J
Section K
Section L
Section M
Section A
Timing and pattern of growth faltering in first 1000 days of life of Sri Lankan children
Date of Data Collection:
Enumerator ID:
District:
MOH Area:
PHM Area:
PHM Name:
Contact Number:
Detach after data collection
Mother's Name:
Contact Number:
Name of the Index Child:
Address:
Age of the Child (in months):
12-14
15-17
18-20
21-24
Sex:
Male
Female
Date of Birth: