{AJAXCONTENT}
  Complete - Birth Report
  Complete - Still Birth Report
   Legal Information
1) Date of Birth : {DOB}
2) sex : {SEX}
3) Name of the child, if any : {CHILDNAME}
4) Name of the father : {FATHERNAME}
5) Name of the mother : {MOTHERNAME}
6) Place of birth : {BIRTHPLACE}
7) Informant's name : {INFONAME}
       Address : {ADDRESS}
   Legal Information
1) Date of Birth : {DOB}
2) sex : {SEX}
3) Name of the father : {FATHERNAME}
4) Name of the mother : {MOTHERNAME}
5) Place of birth : {BIRTHPLACE}
7) Informant's name : {INFONAME}
       Address : {ADDRESS}
{BDATE}
Date 		{INFOSIGNATURE}
Signature or left thumb mark of the informant
Registration No & Unit   
Registration Date
Town / Village
Taluk
District
Remarks (if any)
  
Name and signature of the Registrar

   Statistical Information
8) Town or Village of Residence of the mother
Name of Town / Village : {MVILLAGE}
Is it a town or village : {MRES}
Name of the district : {MDIST}
Name of the state : {MSTATE}
9) Religion of the family : {RELIGION}
10) Father's level of education : {FATHEREDU}
11) Mother's level of education : {MOTHEREDU}
12) Father's occupation : {FATHEROCC}
13) Mother's occupation : {MOTHEROCC}
14) Age of the mother at the time of marriage : {MAGE}
15) Age of the mother at the time of this birth : {MBAGE}
16) Number of children born alive to the mother so far including this child : {NUMCHILD}
17) Type of attention at delivery : {DELTYPE}
18) Method of Delivery : {DELMETH}
19) Birth weight in kgs. and gms. : {WEIGHT}
20) Duration of pregnancy : {PREGDURATION}
7) Town or Village of Residence of the mother
Name of Town / Village : {MVILLAGE}
Is it a town or village : {MRES}
Name of the district : {MDIST}
Name of the state : {MSTATE}
8) Age of the mother at the time of this birth : {MBAGE}
9) Mother's level of education : {MOTHEREDU}
10) Type of attention at delivery : {DELTYPE}
11) Duration of pregnancy : {PREGDURATION}
11) Cause of foetal death : {FOETAL}
Approve    Reject