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chart
(creating the chart) |
(chart) |
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| width="25%" bgcolor="#CCFFFF" | Mother's Maiden Name | | width="25%" bgcolor="#CCFFFF" | Mother's Maiden Name | ||
| width="3%" | {{Green check}} | | width="3%" | {{Green check}} | ||
| width="3%" | | |||
|- | |- | ||
| width="25%" bgcolor="#CCFFFF" | Parent's Ages | | width="25%" bgcolor="#CCFFFF" | Parent's Ages | ||
| Line 35: | Line 35: | ||
| width="3%" | | | width="3%" | | ||
|- | |- | ||
| width="25%" bgcolor="#CCFFFF" | | | width="25%" bgcolor="#CCFFFF" | Name of Doctor or Midwife | ||
| width="3%" | {{Green check}} | | width="3%" | {{Green check}} | ||
| width="3%" | | | width="3%" | | ||