{"text":"NHS Confidential: Personal data about a patient \nSurname (Block Letters) Forenames (Block Letters) \nIMMUNISATION AND . \nSCREENING INVESTIGATIONS | Address Date of Birth \nIMMUNISATIONS (Insert Date and Batch Number where appropriate) \nTetanus Pertussis Polio Measles Rubella MMR BCG \nDate \nDate \nDate \nDate \nDate \nDate \nNo. \nDate \n& Batch No. \nInfluenza B. HIB Men C Cholera \nDate \nDate \n& \nDate \n. 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