Hi. Usually po ito info nilalagay sa mga nakita kong mom&baby info sheet. Hope this helps. Stay safe po. Expectant Mother’s Information Sheet Name of Mother: ______________ Age: ___ Blood type: Name of Father: ______________ Age: ___ Blood type: Last menstrual period (LMP): ________ Expected Date of Delivery (EDD): ________ Age of Gestation – number of weeks upon admittance: ____ Gravida (G) – number of pregnancy? ____ Attending OB:_________________ Contact No.:________ Attending Pediatrician:_________________ Contact No.:________ Mother’s Menstrual Cycle: Age you had first menstruation: ______ Are you regular or irregular on your menstrual cycle? ________ How many days do you menstruate? ______ On a heavy day, how many pads do you use? ________ Medical History: Allergies: ________ Illnesses: ________ Do you smoke or drink alcohol? ________ Supplementary vitamins taken: _____________ Family medical history: _____________________ Other information (mother) Home address:________________________________ Contact no.:________________ Birthday:________________ Height:________ Weight before pregnancy: ____ Current weight:____ Baby info: Name: