Name of location: ---------- Name of hospital: ---------- Hospital record number: ---------- Name of doctor: ---------- Weeks of pregnancy: ---------- Type of delivery: ---------- Mom went into labor at: ---------- Other: ---------- In the hospital, I was visited by: ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- Other visits: ---------- I received cards, flowers, gifts, ... ---------- from ---------- ---------- from ---------- ---------- from ---------- ---------- from ---------- ---------- from ---------- Other presents: ---------- Mom and dad describe my birth: ---------- Mom's first reactions: ---------- Dad's first reactions: ---------- The weather on my birth day: ---------- Important events on the day I was born: ---------- My first days in the hospital: ----------