INFANT DAILY REPORT

                             Child�s Name____________________________________Date__________
                            
                               Arrival Time_______________Anticipated Pick Up Time_______________
       
                                     
Breakfast                      Lunch                 Afternoon Snack
                                    ate well/ok/little         ate well/ok/little           ate well/ok/little

                         IFIF or/ Bmilk _______ozs IFIF or/ Bmilk _______ozs IFIF or/ Bmilk _______ozs
                        IFIC_________________  IFIC__________________  Juice_________________
                        Fruit ________________   Fruit_________________   Bread________________
                                                              Veg__________________   
                                                              Meat_________________
I had________poopy diapers.
Their consistency was:  Normal     Runny     Watery     Formed     Constipated

                       
***Naps***          
Went to sleep at______   Woke up at______                                              
***Checked Diaper At***       
Went to sleep at______   Woke up at______                                                ______Wet   Dry BM  
Went to sleep at______   Woke up at______
                                                                                                                    ______Wet  Dry BM 
                  
   ***Activities***
_________________________________________                                           _______Wet Dry BM

_________________________________________                                            _______Wet Dry BM

_________________________________________                                            _______Wet Dry BM

_________________________________________                                            _______Wet Dry BM
 
_________________________________________                                           _______Wet Dry BM
            
           
               ***Behavior and Mood***

_________________________________________                                      
***Supplies Needed***

_________________________________________                                                Diapers
                                                                                                                                
                                                                                                                    Chg of Clothes
                                                                                                                                                                     

  
***Problems/Concerns/Reminders***                                                        Wet Wipes
_______________________________________            
                                                                                                                       Other________                                       ________________________________________
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